Yurburg Family Reunion Registration Form


Please fill out the form at the bottom of this email and send it along with your reunion fee check to:
Gary Schumann
628 Navarre Ave.
Coral Gables, FL 33134.
Make out the check to Gary Schumann.

Name(s) of family members attending:
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Your E-mail Address:_________________________________
Mailing Address:
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Phone:_________________________________
Total amount ($120 per person) $______.00

I/we am/are [ will / will not ] be attending the dinner at Fania and Michael Jivotovsky's home on Thursday night.

I/we am/are [ interested / not interested ] in eating out at a restaurant with the family on Saturday night.


I/we will be glad to help out at the reunion as volunteers:
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Please use the space below to offer suggestions for program or other improvements in the reunion.
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Please include names, addresses and emails of other cousins who have not received this announcement either by mail or email.
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