Reunion of the Schürch Family
Association of North America
August 6 - 7, 2010
Leave Your Heart with us in Virginia
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www.schurch.ca www.schurchfamilyassociation.net www.schurch.us
REGISTRATION FORM (Please return no later than June 30, 2010)
NAME __________________________________________ FAMILY CODE _________________________
(if known)
ADDRESS ____________________________________________________________________________
CITY OR TOWN __________________________________ PROVINCE/STATE _____________________
POSTAL/ZIP CODE ____________________ E-MAIL ADDRESS __________________________________
TELEPHONE (____) ______________________ FAX NUMBER (____) ____________________________
OTHER NAMES TO REGISTER: ___________________________________________________________
NAME RELATION TO ABOVE FAMILY CODE
REGISTRATION FEE … PER PERSON (children 12 and under free)
BUS TOUR (Air conditioned coaches)
LUNCH Box lunch on Friday _____________________________.
SATURDAY NIGHT BANQUET Adults ______________________.
Children (5 – 11) __________________.
Children (4 & under free) ____________.
DONATIONS If you can't attend the reunion but desire to support your Association, a donation would be greatly appreciated.
Canadian Funds only
$ 15. X ____ = __________
$ 20. X ____ = __________
$ 5. X ____ = __________
$ 20. X ____ = __________
$ 10. X ____ = __________
$ 0. X ____ = __________
TOTAL $ __________________
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Cheques (in American funds) are payable to Schürch Family Association.
Registration can be paid by credit card, money order in American funds, American cheque or American currency. (Note: Exchange rates will not be calculated at the reunion.) Please exchange Canadian for American currency before arriving. Money can be exchanged for a fair rate at the tourist booth after crossing the Peace Bridge or at a local Canadian bank.
Credit card payment is possible for registration fees but will not be processed until August 6, 2010.
The following data is required for a credit card payment:
Type: Circle one - VISA, MasterCard, American Express
Credit card number: _____________________________________
Expiration date: ___________________
Signature: ________________________
NOTE: Auction purchases may also be paid by credit card (VISA, MasterCard, American Express)
PLEASE REGISTER EARLY. Bus tours will be limited in numbers. Avoid disappointment and reserve your space! Registration packets will be handed out at the registration desk. A confirmation of your registration for the reunion will be sent via e-mail or regular mail.
DISPLAYS
Anyone wishing to display books, present papers or other materials, please contact Justin Houser a request for space, tables, electrical outlets, A/V needs. Please note that material cannot be posted on the walls. If you need easels or display boards please advise ASAP.
Justin Houser (Chair of the Historical Committee)
A LAST FEW DETAILS
I will bring an item for the Gift Auction. _____________________________________________________
I would be willing to help in the following area(s):
Registration ____ Auction ____ Set Up ____ Other ____________________________
MAIL REGISTRATION FORM TO:
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Additional registration forms are available on the web sites listed at the top of page one. | 
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