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Please complete and submit this form.

  1. Please provide the following contact information:

    First Name
    Last Name
    Chat Name
  2. Select any of the following options that apply:

    I am planning to attend the 2001
     Gathering in Cleveland
    I am planning to attend the first night dinner at the
     Winking Lizard restaurant
    I am planning to attend the Rock and Roll Hall of
    I am planning to attend Cedar Point amusement

  3. How many people will be attending?

    I am also interested in participating in the following activities:

    Cleveland Metro Parks Zoo

    Great Lakes Science Center

    Cleveland Museum of Natural History

    Cleveland Indians Baseball

    Tower City Shopping

    Cleveland Museum of Art

    Goodtime III Boat Excursion

    Thirty minutes away from Cleveland...

    Six Flags Ohio

    Sea World

    Aurora Farms Outlet Shopping

    And about sixty minutes from Cleveland...

    Pro Football Hall of Fame

    Belden Village Mall Shopping

     "Amish Country"...

    Amish Door Restaurant and Village

    Lehman's Hardware Store

  4. Do you have any questions?

Valerie Simeone
Copyright 1999  All rights reserved.
Revised: January 06, 2001