WHITE HOUSE STAFF REUNION REGISTRATION FORM
November 10-12, 2006 • Williamsburg, VA
REGISTRATION INFORMATION (please print)
Full Name_______________________________________________________________________________
Maiden Name (if applicable)__________________________________________________________________
Mailing Address___________________________________________________________________________
City State ZipCode__________________________________________________________________________
Telephone (Home)____________________________ Telephone (Office)_____________________________
E-mail Address____________________________________________________________________________
HOW TO REGISTER:
Mail completed registration form with check or money order payment to: White House Staff Reunion, c/o Liz Kaminski, 14900 Croom Airport Road, Upper Marlboro, MD 20772
COST PER PERSON: $110 (The cost is fully refundable up to two weeks prior to the event.)
PAYMENT INFORMATION
Enclosed is Check #___________________in the amount of US$________________
Payable to: Colonial Williamsburg Foundation
CHECK OUT OUR NEW WEB SITE FOR MORE INFORMATION: www.whitehousestaffreunion.com
Did you attend the 1st White House Staff Reunion in 2003? ___Yes ___No
ADMINISTRATION: Check all that apply. (No need to complete if you attended the 2003 Reunion)
___ Truman (1945-1953)
___ Eisenhower (1953-1961)
___ Kennedy (1961-1963)
___ Johnson (1963-1969)
___ Nixon (1969-1974)
___ Ford (1974-1977)
___ Carter (1977-1981)
___ Reagan (1981-1989)
___ Bush, George H.W. (1989-1993)
___ Clinton (1993-2001)
___ Bush, George W (2001-present)
Offices that you worked for during your tenure at the White House:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
What is your favorite memory of working at the White House? (please use separate sheet if necessary)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Back to White House Staff Reunion website