Ticket purchase and donation by check

Make check to : Barry Foster

Mail to:

Barry Foster

10108 SW 268th Street

Vashon, WA 98070

Please add a note on the memo line of the check "LOHS 1971 reunion

REGISTER BELOW - THANKS!

NOTE: When you click "submit" below, a message will pop up saying "Survey submitted. Thank You!"
This means your purchase information has been received. We will notify you when we receive your check.

You must be a member to submit this survey. If you are a member please log in first. You can't submit this form until you've logged in.

* Answer Required

1)	* FOR PAYMENT BY CHECK - ENTER YOUR NAME AS YOU WANT IT TO APPEAR ON YOUR REUNION NAME TAG

* HOW MANY TICKETS DO YOU WANT TO PURCHASE

1 TICKET $40.00

2 TICKETS $80.00

3)	IF YOU ARE BRINGING YOUR SPOUSE OR A GUEST, PLEASE ENTER THEIR NAME AS YOU WANT IT TO APPEAR ON THEIR REUNION NAME TAG

4)	* WOULD YOU ALSO LIKE TO MAKE A DONATION TO THE LOHS 1971 REUNION FUND? Yes No

5)	IF YOU SAID YES, PLEASE ENTER THE AMOUNT OF THE DONATION YOU WOULD LIKE TO INCLUDE