DREW UNIVERSITY
Center For Holocaust/Genocide Study

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NYC Rally Bus Registration

$18 Adults
$5 Drew Students
(includes kick-off breakfast)

 Email your reservation immediately (ctrholst@drew.edu) and then fill out form below and mail with your check by September 8, 2006

Drew University
Center for Holocaust/Genocide Study
Embury Hall, Madison, NJ 07940


Please reserve _________seat(s) for me.

I have enclosed a check payable to Drew University Center for Holocaust/Genocide Study for $_________________________

I cannot participate but I would like to contribute $_________ to help defray costs.

Name(s) ___________________________
__________________________________

Address_____________________________
___________________________________
___________________________________

Email______________________________

Drew student_______Faculty___________

Cell Phone #s________________________
(REQUIRED IF PARTICIPATING)




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©Drew University Center for Holocaust/Genocide Study
Embury Hall/Drew University
Madison, NJ 07940
Telephone: 973/408-3600
Email: ctrholst@drew.edu

Page created by: Stephen Hess
Web Master: Stephen Hess - shess@drew.edu