Class of 1965

Fortieth Reunion Registration Form!

Name and current address of classmate returning this form (use maiden/graduating name, if applicable):
_____________________________________________________
_____________________________________________________
_____________________________________________________

YES, I (We) will attend the Class of ’65 - 40th reunion. I am mailing in a check for the following events:

Friday night mixer at Isaak Walton,  & Saturday night dinner and program at Ramkota Inn:        $25.00 per person
Number attending: _______                              Amount $__________

Golf Outing $22.00 for 18 holes; $15.00 for 9 holes
Number attending: ________                            Amount $__________
Handicap or golfing level: _________________

Capital City Queen Boat Ride on the Missouri - $6.00 per person
Number attending: ______                                Amount $__________

Class Photo
8x10 - $12.00 each - Number Photos:_______   Amount $__________
5x7 - $ 6.00 each    - Number Photos:_______   Amount $__________

Reunion Memory Booklet - $10.00 each
Number of Booklets: _____                                Amount $__________

Reunion Memory DVD - $6.00 each
Number of DVDs: ______                                  Amount $__________

                                                     Total Amount Paid:   $ __________

RETURN THIS FORM BY MAIL NO LATER THAN June 15, 2005

Make the check payable to: Class of ’65 Reunion

Mail check to and form to:     Class of '65 Reunion
                                              201 North Euclid, Suite 1
                                              Pierre, SD 57501