THE AVERY MEMORIAL ASSOCIATION

ANNUAL MEETING RESERVATION FORM

SATURDAY JULY 20, 2019

Name(s)________________________________________________________________________

Address:________________________________________________________________________

Phone Number: (___________) _____________________________________________________

E-Mail Address: _________________________________________________________________

Guest(s):________________________________________________________________________

Children’s Names: _______________________________________________________________

The Annual Meeting of the Avery Memorial Association will be held Saturday July 20, 2019
at the Groton Inn & Suites, 99 Gold Star Highway, Route 184, Groton, CT from 10 am to 3 pm.

Save money by registering early!

# of attendees:______ At $45 each, received by June 14, 2019 .............$ _____________

# of attendees:______ At $50 each, received after June 14, 2019.......... $ _____________

# of attendees:______ Children 6 yrs. and under ..................................$ ____FREE____

Dues for the period July 1, 2019 to June 30, 2020:

# of renewals: ______ Annual Individual Dues at $25 each..................$ ______________

# of renewals: ______ Annual Family Dues at $35 each........................ $ ______________

Note: Family = One Household

# of people: _______ Life Membership at $500 each.............................$ ______________

Note: Life Memberships CANNOT be Transferred or Inherited.

Tax-deductible Contribution...................................................................$ _______________

Total Enclosed...........................................................................................$ _______________

Is this your first time at the Annual Meeting? [___] Yes [___] No

Do you have E-Mail? E-Mail address:___________________________

In your Family History, which child of Captain James Avery do you go through? _______________________________________________________________________________________

Please make check payable to the “Avery Memorial Association,”
and send your check with this printed out and completed form to:
Avery Memorial Association
P.O. Box 7245
Groton,CT 06340-7245

Refund Policy:
100% refund if we are notified BEFORE June 14, 2019
50% if we are notified between June 14 and June 30, 2019
No refund in July 2019 or “No Show”

PLEASE NOTE:
Anyone registering "at the door" (why would you?)
will NOT receive a registration package a.k.a. "goodie bag."