REBELS REUNION REGISTRATION FORM
Name:
____________________________
Address:
____________________________
Address:
____________________________
City/Town:
____________________________
Postal Code:
____________________________
Years Played:
____________________________
Team Captain:
____________________________
$20 Payment Enclosed:
Cheque:
Money Order:
Mail Completed Form to:
Basketball Reunion
Box 587
Inverness, NS,
B0E 1N0