Registration
Please complete this registration form and mail with your payment to:
Class of 66 Reunion
c/o Burkhartsmeier
PO Box 9645
Moscow, ID 83843
REGISTRATION SHOULD ARRIVE NO LATER THAN MONDAY, July 15, 2011.
Yes, I plan to attend the 45th Reunion of Class of '66
NAME:______________________________________ SPOUSE:_________________________________
ADDRESS: ____________________________________________________________________________
EMAIL: ______________________________________ PHONE: _________________________________
Registration: Number Attending ($35 each) __________
- Wine Sponsor ($40) ___________________________
- Partial Wine Sponsor ($25) _____________________
Amount enclosed: ________________
- White and red wine will be provided on each table and you may sponsor (or partially sponsor) the
table. Please fee free to sponsor tables even if you do not attend...your name will be on the table.
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Return to:
Class of 66 Reunion
c/o Burkhartsmeier
PO Box 9645
Moscow, ID 83843
NAME:______________________________________ SPOUSE:_________________________________
if female, please enter your maiden name:_________________________________________________
ADDRESS: ____________________________________________________________________________
EMAIL: ______________________________________ PHONE: _________________________________
It is ok to put my name/address/phone/email on the website: yes_______ no_______
Favorite memory of high school:
What I have been doing since 1966 or since the last entry to this website:
