The Golden Who's Who of the Lebanese Emigrants in the World
Nomination Request


Name ______________________________
Address _________________________________________________________
Telephone ___________________
Originally From ___________________
Date / Place of Birth _______________________
Emigrated __________
Spouse _______________________
Children ____________________________________________________________
____________________________________________________________
Father's Name _______________________
Mother's Name _______________________
Brothers & Sisters ____________________________________________________________
____________________________________________________________
Notes __________________________________________________________________________________
  __________________________________________________________________________________
  __________________________________________________________________________________

 

Print, fill out, and mail this form to : Raymond Dib, 64-51 Fitchett ST, Rego Park, NY, 11374, USA

Please include a check payable to Raymond Dib, at a USA bank.

Full Family Entry

$ 200 USD

Single Person Entry

$ 100 USD

Pictures

$ 25 USD each




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Copyright © 1998-2007. Raymond Maurice K. H. Dib - New York. No reproduction is allowed without the expressed approval of the publisher.

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