Registration Form

North High Class of 1980

 **Registration form & payment due by June 15,2010**

 

Name:_____________________________________________

Address:___________________________________________

City:____________________  State: ________ Zip:_________ 

Contact ph #:________________________________________

E-mail address: ______________________________________

 

I will be attending the following events:

Golf Tournament  - July 23,2010                                  YES____ NO____

# attending: ______ X $50.00 p/person = Total Due: ________________

Names of attendees: ______________________________

                              ______________________________ 

Courtyard Marriott at Old Town - July 23, 2010        YES____ NO____

# attending: ______ X $25.00 p/person = Total Due: ________________

Names of attendees: ______________________________

                              ______________________________

School Tour - July 24, 2010                                          YES____ NO____

# attending: ________ 

Quincy's Bar & Grill - July 24, 2010                             YES____ NO____

# attending: ________

                                             Total Payment Enclosed: __________ 

 

Make checks payable to:

North High Class of 1980

Mail to:

Jackie McLaughlin

1241 Woodrow Ave

Wichita, Ks  67203