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2001 Gene Convention Registration Form
"Oil Baron's Ball"
THE 2001 NATIONAL GENE CONVENTION
OCTOBER 19-OCTOBER 21, 2001

CONVENTION REGISTRATION FORM

*******************RETURN THIS PORTION WITH YOUR FEE ********************

Registration Fee is $335.00 per person.

Name_____________________________________Home Phone____________________

Address___________________________________Work Phone____________________

City, State, Zip___________________________________________________________

Email Address____________________________________________________________

Would you like a dealer sales contract? Yes No

How many tables? __________

Signature_______________________________________________Date_____________

Return this form with your check or money order made payable to:
The Oil Baron's Ball and mail to:

The Oil Baron's Ball
C/O Sandra Stillwell
1247 South Atlanta Place
Tulsa, OK 74104

This convention is not affiliated with any local or national clubs or organizations.



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