North High School
Class Of 1980

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