REGISTRATION FORM
Name:_____________________________________________ Date:______________
Name of Spouse or escort:______________________________
Year you began Grade 9:___________
Address:______________________________________________
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Email Address:����___________________________
Registration Fee: $45 per person x # persons _________ = Total $________
Wednesday July 18 Early Bird mixer/meal/dance - Sorry - Sold Out.
(This was an extra event not included in registration fee)
Thursday July 19 Dinner/social evening Included in registration
Friday July 20. AM Golf Outing @ $15 per person x # persons ______ = Total $________
Friday July 20, PM Social/dance Included in registration
Totals $_________
Enclosed is my cheque or money order (in full) for $____________ made payable to:
RLDHS �1950�s Reunion�
Mail to:
RLDHS �1950�s Reunion� Committee
c/o Red Lake Regional Heritage Centre
Attention: Michele Alderton
Box 64, Red Lake, ON
P0V 2M0
PLEASE REGISTER BY JUNE 30, 2007
Questions? Contact Sonja Strome Brumfield � [email protected]