Print and complete this registration form, along with your check for $20.00 per person.

Last Name ____________________ First Name ____________________ Maiden Name ____________________

Email address ______________________________________________________________________________

What year did you graduate? ______________ What is your birthday? _____________________________


Guest's name ______________________________________________________________________________

Make check payable to Carol Tate. Your cancelled check is your receipt.


Send check and registration form to: Carol Tate
3518 Charlemagne
Long Beach CA 90808


DEADLINE FOR RESERVATIONS IS FRIDAY, SEPT 24, 2009

QUESTIONS? CALL CAROL TATE AT (562) 421-8009




 

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Last modified: January 21, 2007