REGISTRATION FORM

CLASS OF 1968 AKSD

Name:________________________________________________________________

Address:___________________________________________ZIP/PCODE_____________

City:_________________ Prov/Stat:________ Country:_________

CONTACT INFORMATION:

Telephone: (home)_______________(work)________________(fax)_____________

e-mail address: ________________

How many of you will be attending this reunion function:

Myself :_______ Wife/Partner:_______________ Children:_____________________________

Please include Name of Spouse and Names and ages of children

 

Where would you be staying in Calgary:

  1. With a relative or a friend ______________
  2. Expecting to stay with one of the organizing committee members _____________
  3. In a hotel. (if enough participants are interested we can negotiate discount rates)
  4. Other. Please specify:_____________________________________________

Cost of all events is expected to be $100 cdn per adult and $50 per child

 

PLEASE LIST NAMES AND ADDRESSES OF OTHER FELLOW STUDENTS YOU ARE IN CONTACT OR KNOW THEIR WHEREABOUTS AND HOW THEY CAN BE CONTACTED

______________________________________________________________________

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CONTACT FOR REPLY :

SHIRAZ NAZERALI - Fax # (403) 281-9361.

 

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