Registration
Form (Please Print)
In order to insure best
pricing, please return this form with your check by
Friday, September
23, 2011
Your name____________________ Guest
name(s)_____________________________
Address________________________________________________________________
Phone_______________________
Published in class booklet? Yes____
No____
Email____________________________________
In booklet? Yes____ No____
We would like to recognize
all who have served in the military. Have you served?
Yes____ No____
If you would like a message
included in the class booklet under your name, please write on the back of this
sheet & limit your comments to 100 words.
Friday Evening Get-Together in Delmar: No. attending_____ I cannot attend____
Saturday Golf Outing: Special rate of $45.00 per person includes greens fee
& cart.
No.___ Amt._______
Saturday Tour
of The Hyde (donation suggested
upon arrival). No. attending_______
Saturday Evening Gala: $39.00 per person (cash bar 6-7pm)
If you
require a special diet, pls. explain:______________ No.___ Amt._______
Sunday
Softball Game No. attending_______
Sunday Islands Exploration Cruise: $17.00 per person.
No.___ Amt._______
Sunday Tuscan Dinner: $23.00 per person. No.___ Amt._______
Monday Brunch in Delmar: pay at restaurant.
No. attending_______
Class Booklet (only if
you cannot attend events): $5.00 each No.___ Amt._______
Donation to help with expenses. Any amt. would be greatly appreciated. Amt._______
Grand
Total________
Please make your check
payable to Bethlehem Central Class of
Õ61 and mail to:
Bill McMillen
94 Cherry Av.
Delmar, NY 12054