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
