Printable RSVP Form below ~OR~ Online RSVP Form

honoring

Barbara Shegog, Ph.d.

Royal Palace Banquet Hall
6254 W. 111^th St.
Chicago Ridge, Illinois 60415

Thursday, July 21, 2011
6:30 p.m. – 11:30 p.m.

Tickets - $35.00
Age 4-10 - $20.00
3 & under – free

Cash Bar
Free ample on-site parking

RSVP by July 2, 2011

Questions or Comments? Call (708) 872-0527 ~OR~
Email: techangela@yahoo.com

Make check or M.O. payable to: Inetra Langley.
Mail to: 5223 Bloomsbury Lane, Matteson, IL 60443 by July 9, 2011

R S V P

Retirement Party for Dr. Barbara Shegog

Thursday, July 21, 2011 ~ 6:30 p.m. – 11:30 p.m.

Royal Palace Banquet Hall
6254 W. 111^th Street
Chicago Ridge, IL 60415

Please RSVP by July 2, 2011. Thank you.

NAME ________________________________________________

EMAIL ADDRESS_________________________________________

ADDRESS ______________________________________________

CITY ______________________STATE____ZIP___________

PHONE______________FAX______________CHECK or MO # ____

____Yes, I will attend.

____ Maybe. I will contact you.

____Regrets, I will not be able to attend.

Number of persons attending (Age 11 or older) ____@ $35.OO per person = $_____ Amt. Enclosed = $_____

Number of persons attending (Age 4-10)_____@ $20.OO per person = $_______ Amt. Enclosed = $________

Number of persons attending 3 years and under = ____ (free)

Total Number Attending: ___ Total Amount Enclosed: $________

___No money enclosed - Payment will be made by July 9, 2011.

Make check or M.O. Payable to: Inetra Langley

Send this form & payment to: Inetra Langley 5223 Bloomsbury Lane, Matteson, IL 60443.

Questions or Comments? Call (708) 872-0527