REGISTRATION FORM
Please return this form no later than 1 July 2011
Classmate’s Name (include maiden) ____________________________
Spouse or Guest Name_______________________________________
Current Address____________________________________________
Phone Number _____________________________________________
Email Address______________________________________________
Classmate # ______ @ $80.00 each = Total_________
Spouse/Guest # ______@ $80.00 each = Total _________
Golf #_______@ $20.00 deposit = Total_______
($40.00 total, $20.00 Non refundable deposit, remaining $ 20.00 due in September)
Wine Tour #_______@ $20.00 deposit = Total_______
($40.00 total, $20.00 Non refundable deposit, remaining $ 20.00 due in September)
Hike #________@ no charge = Total $ 0
Deadwood Trip #_____@ no charge = Total $ 0
Booklets #________@ $12.00 each = Total_______
(If you cannot attend the reunion,
Please specify and the booklet will be sent)
Grand Total Amount included = ____________
Please make check payable to: Class of ’61 Reunion
Attention: Please make a menu choice for the banquet of Saturday night for chef planning purposes: (1) Lemon Pepper Flat Iron (beef) _______ (2) Pesto Chicken Roulade ______ or (3) Grilled Salmon ________
Send to:
Class of ’61 Reunion
Linda (Crowley) Laughlin
3114 Wonderland Drive
Rapid City, South Dakota 57702
Appendix B