Dartmouth 1965: “Still On The Road”
40th Reunion: June
13-16, 2005
Registration Information
(www.sotr.net)
Name: _________________________________ Name for Tag:
_______________________
Mail Address: ________________________________________________________________
City/State/Zip: ________________________________________________________________
Home Telephone: ___________________ Email Address: ______________________________
May we list your Email Address on our Class Web site?
[ ] YES
[ ] NO
Spouse/Partner/Guest:
Name: ________________ Name for Tag: __________ Relationship: _____________
Name: ________________ Name for Tag: __________ Relationship: _____________
Name: ________________ Name for Tag: __________ Relationship: _____________
Arrival/Departure Dates: ________________ /__________________
Plan to use College Dorm Accommodations?
__________
(Separate Registration)
Shirt/Jacket/Hat Sizes
(S, M, L, XL, XXL)
______________________________________________
Do you have possible interest in Golf and/or Tennis?
_________________
Registration Contest (Win an incredible prize!):
Guess total number of Class of ‘65 40th Reunion
Attendees __________
Registration Fee:
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
65 Washington Drive
Sudbury, MA 01776
Questions?
Pete Frederick:
mpfred@earthlink.net
Roger Hansen:
hrhansen@verizon.net
Mike Gonnerman:
michael@gonnerman.com
