REGISTRATION FORM

REGISTRATION FORM

CELEBRATING OUR ROOTS IN WASHINGTON STATE 2011 RUFFNER FAMILY REUNION

We are hoping that you and your family will join other Ruffner cousins for a Reunion out in the good Ol' West, where many Ruffner cousins have settled. The reunion will be held in Issaquah, Washington. Please complete the information below and return it with the appropriate fees to:

Marilyn Courtade, Ruffner Family Reunion , Po Box 365 , Carnation , Wa . 98014

No later than May 20th. Make checks payable to Ruffner Family Reunion 2011.

Cost: Adults: $50/each (Age 16+), Children: $10 (Age 6-15), Under 6: Free
A fee of $20 per family for non-members RFA

PLEASE PRINT
NAME: _______________________________________________________________________________
First Middle or Maiden Last

ADDRESS: ____________________________________________________________________________
PO Box/Street City State Zip

PHONE: __________________________________ EMAIL:_____________________________________

ADDITIONAL NAMES OF ATTENDEES AT THIS ADDRESS

NAME:_____________________________________________________________________________

NAME:_____________________________________________________________________________
(Include names of additional guests on back of this form)

I have enclosed a check for $__________ to cover # of adults _____, to cover # of age 6-15 _____. I have also included $20 to cover the non-member fee, which will be used to update my membership. In addition to my registration fees, I am enclosing a contribution of $_______

Please bring items to auction for the Silent Auction. Also, please bring pictures and Ruffner memorabilia for all to see.

I AM A DESCENDANT OF PETER & MARY (STEINMAN) RUFFNER THROUGH
THE FOLLOWING: JOSEPH_____ BENJAMIN _____PETER JR. _____REUBEN_____
ELIZABETH ____EMANUEL ____OTHER (please specify)______________________

Questions:

Please contact Marilyn Courtade - Phone: 1 425 333 4207, Email: cgilliecarn@aol.com

Or Betty Gaeng - Phone: 1 425 245 5785, Email: gangwaywest@aol.com

SATURDAY EVENING BANQUET: Attendees _________ SUNDAY PICNIC: Attendees_________