SMITH ’69 REUNION REGISTRATION FORM

 

(Open to Smith classes 67,68,69,70,71 and guests)

 

Costs for this event will be $50 per person for all who register (and guests) prior to the event (registration and payment postmarked by September 18th). Costs will be $60 at the door the evening of the event.  Cancelation refunds will be honored up to but not after September 18^th.

Please complete the form below for registration.  PLEASE PRINT LEGIBALY 

CLASS MEMBER NAME (and Class year) the way you want it on your nametag

 

 

________________________________________________________________________________    _______

 

 

 

GUEST(s) NAME(s)  (and Smith class year if applicable) the way you want it on nametag(s)

 

 

________________________________________________________________________________       ________ 

 

 

_________________________________________________________________________________       ________

 

 

Mail registration forms and checks to:

Smith 69 reunion

c/o Rick Burnham

314 Saint Nicholas Trail

Gibsonville, 27249

 

Make checks payable to:

Rick Burnham 69 reunion

 

AMOUNT ENCLOSED:   $_________________