CI High School Alumni Florida Reunion 2004 Registration Form The cost of Hors d� Oeuvres (cash Bar), Dinner and Music will be $33.00 per person. The cost of the second day barbeque will be $14.00. Please complete the registration information below and send the form with your check to: Alice Mann Garcia 616 Bowie St. Lakeland, FL 33813 NOTE: Please make check out to: Alice Garcia Name: ____________________________________ Class of: ___________ Address: _____________________________________________________ Address: _____________________________________________________ City: __________________________ State: ___________ Zip: __________ Tel: ____________________ e-mail: _______________________________ Do you plan to attend: _____yes/no: Will Your Spouse/Guest Attend: ____yes/no Spouse Name: _____________________________________ Guest Name: ______________________________________ Number Attending Banquet 1/31/04: _________ @$33.00 Total Enclosed: $__________ Dinner Selections, Please select: London Broil _____ Chicken Marsala ______Rotisserie Baked � Spring Chicken _______ Number attending Barbeque 2/1/04: _____@$14.00 Total Enclosed: $_________ PLEASE COMPLETE THE REGISTRATION FORM AND SEND IT WITH YOUR CHECK BY Jan. 1, 2003. Thanks!