Registration Form

DELBROOK AND NORTH VANCOUVER HIGH SCHOOLS

REGISTRATION FORM: 80th YEAR BIRTHDAY PARTY AND LUNCHEON

Thursday, June 4, 2020 11:30 am -3:30 pm. Luncheon and Birthday Party, Seymour Golf & Country Club 3723 Mount Seymour Parkway, North Vancouver $60 per person,

Lucheon and Party:    $60 PP       Number: ________ times $60 = $ _________

                                                   Total remitted on Cheque:        $ __________

Name: Last _____________________________First___________________________________

Maiden Name: __________________________

Street Address: ________________________________________________________________

City: ________________________________Prov./State: ______________________________

Country: _____________________________Postal Code: _____________________________

Phone #: _____________________________Email Address: ___________________________

Partner’s Name (if attending) ___________________________________________

School Attended               DELBROOK  [   ]                     NORTH VANCOUVER   [   ]

Please make cheque payable to Classes of '58 and mail to::

Classes of '58
c/o #1602 – 1555 Eastern Avenue
North Vancouver, B. C.,
CANADA. V7L 3G2 

Your reunion committee thanks you.laugh           

                 



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