Printable Registration Form
Can You Make It? Bringing a loved one?

First Name

 

Last Name

 

Maiden Name
if applicable

 

Spouse/Friend
Name

 

Email

 

Street

 

City

 

Zip

 


All events and items must be pre-ordered
 

Friday 29
 please check appropriately

12:30 PM - Afternoon Golf - $20.00

yes

no

Spouse or Friend - $20.00

yes

no

6:00 PM - Informal Gathering/Dutch Oven - $15.00

yes

no

Spouse or Friend - $15.00

yes

no

 

Saturday 30
please check appropriately

6:00 Social dinner and gathering - $35.00

Steak

Halibut

 

yes

no

Spouse or Friend - $35.00

Steak

Halibut

 

yes

no

Total amount mailed to Mike Wimmer will be?  $____________________

Please make all checks payable to: B.L. Class of '65
Mail to:
Mike Wimmer
413 Washington Blvd
Ogden, UT 84404