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Event Form

12:30 PM: Wine Bar
1:00 PM: Luncheon  - $15 AU members, $20.00 non-members, and $5 students
1:45 PM: Rob Boston - no charge, but reservation required to ensure seating

Please complete form to reserve your space. If attending the lunch, please include lunch information with payment.

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Time:

Sunday, January 25 at 1:00 PM

Place:

Holiday Inn Select Norfolk Airport
1570 N Military Hwy
Norfolk, VA 23502
(757) 213-2231

Reservations:

Please mail your check made out to VA-AU to:
VA Chapter - Americans United
PO Box 66163
Virginia Beach, VA 23466-6163

After January 21, please add $5.00 per reservation

Name:

Names of Guests:   Check amount:   

Address:

City & Zip:

Phone:    E-mail:   

Charge:

# $15.00 Lunch

# $20.00 Lunch

# $5.00 Students (includes one year student membership)