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NORGY 2016 Registration Form Name Address City/State/Zip Phone Email Name on Badge Under 21 Dietary Restrictions Favorite Beverages Additional Badge Names Payment 90 before November 9th 105 after. Ages 3 and under free. Ages 4 through 20 60. Total Enclosed Please mail this page with a check made out to New Orleans Mensa RG to Bart Lovie Geraci Registrar 771 Robert E Lee Blvd New Orleans LA 70124 Email BJGeraci aol.com Phone 504 312 2636 Hotel Hilton Garden Inn New Orleans Convention...
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