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REGISTRATION FORM

YES, SIGN ME UP FOR THE 1999 LAS VEGAS GOOSE BAY HIGH SCHOOL REUNION.


(HIT YOUR PRINT BUTTON TO PRINT OUT THIS FORM FOR MAILING)

NAME:_____________________________________________________

YEAR GRADUATED:___________________________________________

ADDRESS:___________________________________________________

___________________________________________________________

PHONE:____________________________________________________

E-MAIL:___________________________________________________

NAME OF THOSE ACCOMPANYING YOU:

__________________________________________________________

TOTAL COST: ($92.00 SINGLE/$166 DOUBLE:___________________

Please select from one of the following menu items (one per person)

(1) Grilled Breast of Chicken with Shitake Mushrooms and Basil Cream

(2) Prime Rib

________each Grilled Breast of Chicken

________ each Prime Rib
Payment is due no later than June 10, 1999. Please send
check or money order to:

The Reunion Brat
4005 S. Ione
Kennewick, WA 99337

Any questions concerning the above call: (509)582-9304

Confirmation of Registration and Itinerary will be sent out by July 1, 1999. Late fee of $10.00 if registration is not received by June 10, 1999. Call the Monte Carlo Hotel at
1-800-311-8999 no later than June 28, 1999 to make your hotel reservations. Be sure to mention you are with the Goose Bay Reunion (code "Xgoose") to receive your group rate of $59.00 plus tax.




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