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NSA-IL Humanitarian Annual Fundraising Event

Registration Form

May 4, 2008 at 2:00 p.m.
Rick and Sharon Jakle's home
9N874 Koshare Circle
Elgin, IL 60124
Click here to view a map & directions
Business Casual

General Registration

$55.00/single

$80.00/couple

Supporter Cost (including 2 tickets)

See below

Motivator Cost (including 4 tickets)
See below
Keynoter Cost (including 4 tickets)
See below

If you would like to be a Supporter, Motivater or Keynoter, please call the office at 630-208-0776 or send checks to NSA-IL Humanitarian Foundation, 2306 Brookway Drive, Geneva, IL 60134.