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REGISTRATION FORM - DEADLINE EXTENDED TO JUNE 30, 2006

REGISTRATION FEES:

    Thursday, Friday and Saturday:

                Family: Parents and dependent children.     $40.00 $____________

                Individual:                                                         $20.00 $____________

    Saturday Only:

                Family: Parents and dependent children      $20.00 $____________

                Individual:                                                          $10.00 $____________

BUS TOURS:

    Tour One - Full Day Friday - 8.00 to 5:00, SSS Family Interests

            Includes box lunch                          $25.00 X         ___ = $____________

    Tour Two- Half Day Friday - 8:00 to 12:00 Local Family Sites

                                                                     $20.00 X         ___ = $____________

    Tour Three-Full Day Friday – 8:00 to 4:00 Amish & Mennonite Cultural

            Includes box lunch                          $25.00 X         ___ = $____________

CHILD CARE:

  Child Care will be provide for children K through 5 only for those parents

  participating in bus trips and during the Saturday morning breakout sessions

        Friday: Available from 8:00 to 5:00

            Includes box lunch                           $ 5.25 X         ___ = $____________

        Saturday Morning: Number attending                      ___

MEALS:

    Thursday Reception                               $  4.50 X         ___ = $____________

    Friday Evening Catered Meal Adult     $14.75 X         ___ = $____________

                Children age 10 and under        $ 9.75 X         ___ =  $____________

    (All meals include tax and gratuity)

    Saturday Morning: Coffee and donuts available

                Number attending                                                ___

    Saturday Noon:  Benefit Meal pay for what you choose

                Number attending                                                ___

Total Advance Registration Fee :                                            $____________


Make Checks Payable and Mail to:
2006 SSS REUNION
C/O John M. Smoker
5353 Philadelphia Avenue
Chambersburg
, PA  17201


Phone: 717-264-9789


Name: _________________________________________

Address: _______________________________________

State: ______ Zip: _____ Phone: (       ) ________________


Names of Attendees:

__________________   ______________________  ________________________

__________________   ______________________  ________________________