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US Colored Troops Living History Association October 16-18, 2009 Ramada Inn 2143 N. Broadway Lexington, KY Registration
Name: ______________________________________-Title:-____________________________________________
Organization/Unit: _____________________________________________________________________________
Address:_____________________________________________________________________________________ City _____________________________ State:____________ Zipcode: ____________________________
Telephone: _________________________ Fax: _________________________________________
Email: ___________________________________ Website:_____________________________________
Registration : $55 ___ (Includes Friday Reception, Saturday Luncheon & Saturday BBQ)_________________ Guest: $45 ___
Ramada Room Reservations: 800-2-RAMADA– Room Rate: $89 + tax before 10/2/09
Type of payment: __________ Check ___________ Credit Card
Credit Card: ________ Visa ________ MC
Name: __________________________________ Signature: ___________________________
Credit Card #: ___________________________ Expiration Date: ______________________
Company: ____________________________________________________________________________________
Address: _____________________________________________________________________________________
City __________________________________ State _____________ Zipcode ______________________________
Phone ( ) ________________________________ Fax ( ) ___________________________
Email: _______________________________________________________________________________________
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