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PRINTABLE REGISTRATION FORM

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Registration Form

Deadline for registration is June 30th, 2005. Registration fee is $5 with free registration under 16 years of age. This fee will be used to help defray expenses such as postage, stationery, rent of hall, etc. Dinner cost is $15. If you cannot attend, dinner money will be refunded if notification is received prior to June 30, 2005. Registrations after June 30 are welcome, but dinner reservations may not be available. Cheques only please, do not send cash. Please make cheques payable to MacKeen Reunion Fund and forward with completed registration form to:

Mrs. Linda McKeen
Holy Hill Farm
RR2 Aspen
NS, B0H 1E0

OR

Mrs. Gloria MacKeen
65 Lodge Rd.
RR2 Aspen
NS, B0H 1E0

Turkey Dinner
Number of Plates Requested:
____________________________________

Fees
Registration Fees enclosed:
$ __________________________________

Dinner Fees enclosed:
$ __________________________________

 

Participant Information
Name:
_____________________________________

Address:
_____________________________________

_____________________________________

_____________________________________

Postal Code / Zip:
_____________________________________

Telephone:
_____________________________________

Email Address:
_____________________________________

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