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REGISTRATION FORM 45th REUNION OF CHS CLASS OF 1965 SEPTEMBER 3 & 4, 2010
Name(s): ____________________________________
____________________________________
Address: _____________________________________
_____________________________________ City State Zip Code
Phone: ____________________ Email: ____________________________
Friday Cocktail Party Only ________ x $15.00/person = $______________ (Number) Saturday Banquet Only ________ x $45.00/person = $______________ (Number) Both Friday & Saturday ________ x $60.00/person = $______________ (Number) Total Food Cost = $______________
Write this check to: “Class of 65"
Golf Outing
Greens Fee Only ________ x $24.00/person = $______________
Greens Fee & I/2 Cart ________ x $37.00/person = $______________
Total Golf Cost = $______________ Write this check to: “HG Golf Properties"
Please return this form and check(s) to: Sue Richardson 2506 Valkar Lane Champaign, IL 61822
A block of 15 standard rooms has been reserved at Holiday Inn for September 3 and 4 for $110.45 (tax included) nightly. Reservation deadline for hotel rooms is August 5, 2010 and must be made individually. Holiday Inn’s phone number is 217-328-7900. Make your reservations directly with the hotel.
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65 Please Register by: July16, 2010