Registration
(If you are among the first 100 Registrants you are guaranteed 3 Raffle Tickets and a Goodie Bag which May hold a $100 Bonus Prize!)
|
Registration |
(If you are among the first 100 Registrants you are guaranteed 3 Raffle Tickets and a Goodie Bag which May hold a $100 Bonus Prize!) |
| Name: _______________________________________________________________ |
| Address: _____________________________________________________________ |
| Phone: ______________________________ E-mail: ____________________________ |
| _________ Individual Participating (indicate # of tickets) - $25 per person |
| _________ Couples Participating (indicate # of tickets) - $45 per couple |
| _________ Additional Poker Hands - 5 cards (indicate # of hands) - $10 each |
| _________ Blind Poker Hands - 5 cards |
| (a way to participate if you are unable to attend) - $10 each |
|
| Mail payment to: |
| Resources for Community Living |
| Attn: Anita Morse |
| 4300 Lincoln Ave., Suite K |
| Rolling Meadows, IL 60008 |
| Or contact |
| Voice: (847) 701-1554 * TDD: (847) 701-1556 * Fax: (847) 701-1560 |
| E-mail address: rescoliv@aol.com * Web site: www.rcl2bindependent.org |
| or |
| Anitarcl@aol.com * 847-533-3895 |
| *Mission Statement: |
| To offer adults with developmental and/or physical disabilities opportunities to achieve greater self-esteem, dignity and participation in all aspects of community life through affordable housing options, individualized skill instruction and necessary support services. |