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National March on Washington
January 27, 2007
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Charter Bus Reservation for March on Washington, Jan. 26-28
Please reserve by January 5, 2007
Your reservation is not confirmed until payment is
received or sponsor arrangements have been made.
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* Required Field
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Your name:
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*
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Email:
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Please enter your email address if you have one.
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Address
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*
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Return to D.C. Trip Details Page.
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*
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City, State, Zip
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Phone
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*
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Payment is enclosed with this form.
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Payment has been mailed.
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I would like a sponsorship
Please indicate in the box below if you need a full or partial sponsorship.
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Questions, comments, or feedback:
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Please print this form and mail it to the address below.
You may submit this form electronically, but your reservation will not be confirmed until your payment is
received or sponsorship arrangements have been made.
Please make your check or money order payable to: Tim Gauger
Also, add "DC Trip" on the memo line of the check.
Mail your payment to: Mona Shaw
P.O. Box 10084
Iowa City, IA 52244
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Return to D.C. Trip Details Page.
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