2009 USA REUNION Registration

Please fill in the form COMPLETELY

Initial Deposit / Payment MUST be accompanied by this form

Please PRINT

 

 

 

Batch Mate NAME:___________________________________________________________________________

               

Maiden Name:_______________________________________________________________________________

NAME of Guest:______________________________________________________________________________

                                                  (If no guest, put “None”; If more guests, use the back of the paper)

 

                    

City of Residence:__________________________________________________State______________________

·         *Email_______________________________________________________________________________

·         *Phone #________________________________________________________(   ) Home  (  ) Cell  (  ) Work

 

Amount Enclosed $________________________ Check /Intl  Money Order #________________________________

Please Make your Check Payable & SEND it TO:

 

 DOLORES GALANG  

 12162 OAK SPRINGS LANE

 NORTHRIDGE, CA 91326

 

Email:  DOLORES.GALANG@LACITY.ORG

 

Payment(s) will be acknowledged when received. 

 

Booking YOUR  hotel & any Tours/Golf/Shows in Las Vegas IS very easy. It’s just  clicks away.  However to help us plan

the weekend, please provide us with the information below:

1.       Arrival day/date  in Las Vegas_________________________________________________________

2.        Departure day / date__________________________________________________________________

3.        Total # traveling in your  party ________________________________________________________

4.        Will be staying at (  ) a Friend’s/my home  (  )  at a  Hotel  (  ) at a Time Share________________

5.        If alone, are you open to sharing a hotel room with another batch mate?______________________

6.        Interested in watching a (  ) Matinee (  ) Dinner (  ) Either  (  ) No  Show_______________________

7.        What would you like to visit while in Vegas?______________________________________________

8.         

OTHER Comments:__________________________________________________________________________

 

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