----------- PLEASE PRINT OUT AND RETURN THE FORM BELOW ----------
 

Charles H. Milby Class of 1994 Reunion
Registration Form

Full Name: _____________________________________________
Phone: ________________________________________________
Full Address: ___________________________________________
Email address:__________________________________________

Please let us know in which activities you plan to participate:

Friday, Nov 5th Happy Hour (Y/N)  # Of Guests _____
The cost of the banquet is:
$50 per ticket if mailed by Sep 1
$55 per ticket if mailed by Oct 1
$65 per ticket if mailed by Oct 20
$75 per ticket after Oct 20

Please indicate the number of tickets you wish to purchase: # ____________
Make checks payable to: Milby Class of 1994
Please send payments to:
Milby Class of 1994
P.O. Box 262574
Houston, TX 77207

Amount Enclosed for the Banquet: $___________

Also let us know if you would be interested in purchasing any of the following items at an additional cost:
Professional Photos (Individual/Panorama) Y / N
Professional Videotape Y / N
Let us know which teacher(s) you would like to see attend the reunion: _________________________________________
Other comments: __________________________________________________________________________________
_______________________________________________________________________________________________
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