1/8 – 2/2 Quantico Reunion 2009 Registration Form

 

Please fill out this form and send it along with your check, made out to: ÒREUNION,Ó in the enclosed envelope to:

 

Jim Thompson

5054 Pine Bark Circle

Dunwoody, GA 30338

 

Name    ___________________________________________________________________________

 

Address __________________________________________________________________________

 

­__________________________________________________________________________________

 

Company served in (e.g. H&S/1/8, H/2/2)  ______________________________________________

 

Telephone number   ________________________________________________________________

 

Email address  _____________________________________________________________________

 

Number of persons attending   __________    (Reunion fee is $130.00 per person)

 

If you are coming alone, are you willing to share a room?   Yes _________      No ___________  

 

Names of persons attending (as you would like the names printed on the name badges)

 

______________________________________________

 

______________________________________________

 

______________________________________________

 

______________________________________________

 

Please make check payable to: ÒReunionÓ in the amount of $130.00 per person attending.

 

Please return the form and your check by June 15th, 2009.

 

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