(Please print clearly)

FIRST NAME:_________________________ LAST NAME:__________________________

ADDRESS:___________________________________________________________________

CITY:________________________________ STATE:________ ZIP:___________________

PHONE:_____________________________________________________________________

Please complete separate copies of this form for every guest.

***************

Cost: $50 per person

o  I will attend the luncheon.  Enclosed is $ ________ for _______ reservations.

Please make checks payable to: American Hellenic Institute (AHI)

Credit card payments:  VISA____   MC____   AX____

Card Number:___________________________________

Expiration Date: _____ / _____ Signature:_______________________________

For further information call 202-785-8430; fax:  202-785-5178

An R.S.V.P. by Monday, June 25, 2007 would be appreciated.