57 Year Registration Form

57 Year Reunion October 25 and 26, 2022

Name/s________________________________________________________________

________________________________________________________________

(As you want it to appear on your nametag.)

Address________________________________________________________________

________________________________________________________________

Phone_____________________________ Email________________________________

Tuesday, Cocktail Party $35.00 X _______ $__________

Wednesday, Bar-B-Q Buffet $40.00 X_______ $__________

Thursday, Boca Sands Grille On your dime X_______

Total enclosed $__________

Please make your check payable to: NEHI Class of '65 and mail to:

Marcia Turner

120 20th Avenue North

St. Petersburg, FL 33704