Family Name: _____________________________________________
Street Address: _____________________________________________
City, State, Zip: _____________________________________________
Phone: _____________________________________________
E-mail: _____________________________________________
Number of People Attending: ___________
Names/Ages of Children Attending: _______________________________
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Here are areas I can help with:
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Please send your non-refundable $50 deposit to:
Yangchun Reunion 2004
930 E. Ninth Ave.
Broomfield, CO 80020