New Orleans Mini Reunion

April 3-6, 2006

Registration form

Name(s)____________________________________________________

             ____________________________________________________

Address:

     Street__________________________________________

              City____________________________________________

              State__________________________________________ 

              Zip code_______________________________________

Phone number__________________________________________

E-mail address_____________________________________________

Estimated arrival time in New Orleans____________________

Will you be staying at the Pontchartrain? (Y/N)_________________

Please send check and completed form to:

Maggie Bruno

66 High Street Corporation

66 High Street