Baron Scroll Fall 2005                                                                                                              Reunion Registration Form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reunion Registration Form

 

Please make checks payable to: Bitburg Alumni Association.

Mail the check and registration form to

 

                MAIL WERKS

             Gerry LAGISH Hilliard

             Bitburg Alumni Association

             1641 McCulloch Blvd.  #25   PMB #193

             Lake Havasu City, AZ 86403

 

Alumni Name: ____________________________________  Yr. Attended_____

                                                   (Please include nicknames, maiden and married {last} names)

 

Address: _________________________________________________________

                                  (Please include Street, Apt. #, City, State, Zip, APO/FPO, Country, etc.)

 

Please provide names of people who will be attending the Reunion with you:

 

Spouse: ______________________________________________________

 

 

Other Adults:___________________________________________________

 

 

______________________________________________________________

 

 

Children: _______________________________________________________

 

 

_______________________________________________________________

 

 

Registration Fees Paid:

____      Alumni $90              _____ Other Adults X $65      _____ Children X $25

 

Arrival Date ____________      Departure Date ______________

 

Don’t forget to reserve your room with the Unicoi Lodge, 800-573-9659, Mention Bitburg HS Reunion for the room discount. You can also check them out on the Internet at www.unicoilodge.com.