PREBLE REUNION ASSOCIATION REGISTRATION

2003 Reunion ? October 9-12 - San Diego, CA

YOUR NAME _____________________________________________________________

ADDRESS _______________________________________________________________

CITY, STATE, ____________________________________________ ZIP _____________

        Registration Fee:
        # ____ Persons (s) attending @ $ 20.00 / person $________

        Banquet Fee:
        # ____ Person (s) attending @ $ 30.00 / person   $________

        Beef___________Chicken__________Vegitarian______ 

        My 2003, dues $ 10.00 (more if you wish)             $______

                                                               Total enclosed: $_______

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How would you like your name to appear on name tags:

Yourself: _______________________________________________________________ 

Guest: _________________________________________________________________

Please print and fill out and return to:

Gene Wamsley
969 ST RT 28 Lot 6, Milford,
OH 45150-5902

Receipt will be returned by Email.
Those without email addresses will receive receipt by regular mail.
Please send to Gene the questionnaire and reunion registration.