PLEASE PRINT. Return registration w/payment by JULY 15, 2012
First Name: ______________________________________________________
Last Name: _______________________________________________________
If your last name was different in high school, please provide that name here:
___________________________________________________
Address: ________________________________________________________
Address 2 _________________________________________________________
City: _____________________________________________________________
State: _______
ZIP Code: ______________________
Phone: (please include area code) ________________________________________
Cell phone: __________________________________________________________
Email: _________________________________________________________
Name of guest: __________________________________________________
YES I want this information to appear in the directory
Please select the activity you will attend:
Friday night meet-and-greet
☐ Friday night “meet-and-greet” (no charge to attend)
☐ I will bring a guest to the Friday night activity
Friday night football
☐ game Bosse v Memorial
$5 per person
Saturday night Reunion Dinner at The Victory
$40 per person
☐ number of people attending
Dinner selection
☐ Herb Chicken
☐ Pork Medallion
☐ Vegetarian Portobello Mushroom
Guest Dinner selection
☐ Herb Chicken
☐ Pork Medallion
☐ Vegetarian Portobello Mushroom
Please make check payable to:
Bosse 45th Reunion
c/o Nancy Searle
950 S. Locust Ln
Tacoma WA 98465
Registration must be received no later than
July 15, 2012
Total
attending
_______
Total tickets
requested
_______
Total
amount
_______
Total
amount
_______
SATURDAY MORNING GOLF SCRAMBLE
$10 deposit for each player by July 1st
Name:
_______________________________________________________________________
Guest:
________________________________________________________________________
I would like to be paired with:
_______________________________________________
My handicap is:
____________________________
☐ I will need clubs (for number of people)
_______________
☐ I will need transportation for (number of people)
_________________
Please make checks payable to:
CLEARCREST GOLF COURSE
Send $10 deposit to:
Donna Levell
9110 Greystone Ct
Evansville, IN, 47712.
Total cost for 18 holes and a cart is $27.20.
This information is available in addition to a complete overview of reunion agenda in pdf format. Please email dekedesigns@aol.com and a copy will be sent to you.
