REGISTRATION FORM—Minico 50^th Class Reunion

September 15 & 16, 2017

Name: ______________________________________________________

Name of spouse or guest attending: ______________________________

Address: ____________________________________________________

City: ___________________________________ State _____ Zip _______

Email Address: _____________________________ Phone ____________

 

Please indicate your choices below.

Event	Cost	No.	Total
Friday Night at the Historical Wilson Theater	$25.00		$
Saturday Lake Walcott Grilled Idaho Trout Dinner	$25.00		$
Saturday Lake Walcott Marinated Chicken Breast Dinner	$25.00		$
Minico 50th Class Reunion Memory Book (includes Friday & Saturday night class photos and shipping)	$10.00		$
Official Reunion T-Shirt
Women’s (please circle)  XS-S-M-L-XL-XXL	$10.00		$
Men’s (please circle)  M-L-XL-XXL	$10.00		$
Reunion DVD (downloadable memory book & weekend photos)	$5.00		$
Total Enclosed			$

 

Please make checks payable to: Class of ’67 and mail with this form by August 25^th to:

Renee Bacon 

588 W  200 N 

Paul, ID  83347