REGISTRATION FORM

TO REGISTER FOR QUANG DA LAS VEGAS REUNION, TYPE IN BOXES BELOW.
USE MOUSE TO CLICK THE NEXT BOX.
DO NOT USE THE RETURN / ENTER KEY (FOR SUBMITTING ONLY WHEN DONE.)
First    Middle    Last
Name:
Your information before 1975
in QuangNam-DaNang
Worked at:
Had Business at:
High School at:
Your current information
Current Address:
City:
State:
Country:
Telephone:
Email:
Number of Tickets: Gala
Food Menu:
Regular
 Vegetarian
Lake Mead & Hoover Dam Tour?
Number of Tickets: Tour
We welcome your
comments and suggestions:
Please verify all above
information before submitting
your registration.
===================
Thank you for completing all above required field boxes. Contact us if you
have questions related to this registration.

Please total the amount and write checks or travelers' checks payable to:
Quang Da DFW.

MAIL TO:
PO Box 630615
Irving, Texas 75063
(USA)

Should an emergency arise that you are unable to attend this event, please
inform us promptly by email before September 01, 2010 (at least 3 days
before the event.)  Your money would be refunded if your tickets were
already paid.

***
Hoi Quang Da Dallas Ft. Worth &
Trung Tam Giao Duc Nguyen Hien Da Nang

See Registration List
Giới thiệu
sách hay.
Ho Van Hien  MD
F.A.Q
LAS  VEGAS
LAS  VEGAS
LAS  VEGAS
LAS  VEGAS
LAS  VEGAS
LAS
 
*** HỘI NGỘ QUẢNG ĐÀ 2010 ***
"Journey for Freedom"
QUANG DA 2010 REUNION  LAS VEGAS - USA

Only 30 days counting down to this Event in September!
Have you registered and made arrangements to be in Las Vegas with your friends yet?
NOW is the right time to do it !