Still On The Road

Registration Form

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Send In Your Registration Today

 

>>> Click here to download PRINTABLE WORD file

>>> Click here to download PRINTABLE PDF file

Dartmouth 1965: “Still On The Road”

40th Reunion: June 13-16, 2005

Registration Information

www.sotr.net

 

 

Name:    _____________________________ Badge Name ____________________

 

Mailing Address:  _____________________________________________________

 

Town: _____________________________ State: __________ Zip Code: _________

 

Home Telephone: _________________   Email Address: ______________________

 

May we list your Email Address on our Class Web site?      [  ] Yes   [  ] No 

 

List size (S, M, L, XL, XXL) for Shirt  _________   Hat ___________ 

 

Spouse/Partner/Guest(s):

 

Name: _____________________________  Badge Name: ____________________

 

List size (S, M, L, XL, XXL) for Shirt  ___________   Hat ____________

 

Additional Guest Name:         (List further additional guest on the reverse)

 

Name: _____________________________  Badge Name: ____________________

 

List size (S, M, L, XL, XXL) for Shirt  ___________   Hat ____________

 

Special Needs:  ______________________________________________________ 

 

Expected Arrival Date: _____________________  . Time: ____________________

 

Expected Departure Date: ___________________   Time: ____________________

 

Do you have possible interest in Golf ?     -           [  ] Yes     [  ] No       

 

Do you have possible interest in Tennis?             [  ] Yes     [  ]  No      

      For Golf /Tennis details visit Activities

 

Registration Contest (Win an incredible prize at reunion!):

Guess total number of Class of ‘65 40th Reunion Attendees     __________

 

Registration Fee:

Includes all events & meals as listed on the schedule from Monday dinner - Thursday breakfast.

 

                Class of ’65                                                           _____ x $375 = $__________

                Spouse/Partner/Guests                                    _____ x $350 = $__________

                Guests, 13 and Under                                         _____ x $150  = $__________

                TOTAL DUE:                                                 “Class of  1965” = $__________

 

Housing not included. Registration Fee 100% refundable if notified by May 31, 2005

               

Mail Payment and Registration Form to:      Mike Gonnerman

Make checks payable to "Class of  1965"       65 Washington Drive

Sudbury, MA 01776                          

Questions?                                                                                            

                Pete Frederick:                    mpfred@earthlink.net

                Roger Hansen:                     hrhansen@verizon.net

Mike Gonnerman:               michael@gonnerman.com           

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Then & Now
1965: Moving to California because it's "cool."...  2005: Moving to California because it's warm!