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