NNHS CLASS OF 1964

RESERVATIONS

 (PERSONAL DATA FOR COMMITTEE USE ONLY)

ALUMNUS NAME:  ____________________________________________________________

ADDRESS:    __________________________________________________________________

                        __________________________________________________________________

                        __________________________________________________________________

PHONE:         __________________________  E-MAIL:  ______________________________

NAMES OF ATTENDEES AS YOU WANT THEM TO APPEAR ON YOUR BADGE

1.        _______________________________________________________________________

2.        _______________________________________________________________________

___________  I/WE ARE UNABLE TO ATTEND.

___________  I/WE ARE UNABLE TO ATTEND, BUT WISH TO ORDER

# __________ COPIES OLD RUSTY ANCHOR @ $10/COPY=      $_________

___________  I/WE PLAN TO ATTEND FRIDAY NIGHT ONLY:

                        # __________  ATTENDING @ $30/PERSON =                                $__________

                        # __________ COPIES OLD RUSTY ANCHOR @ $10/COPY =     $__________

___________  I/WE PLAN TO ATTEND SATURDAY NIGHT ONLY:

                        # __________  ATTENDING @ $45/PERSON =                                $__________

                        (OLD RUSTY ANCHOR INCLUDED IN PRICE)

___________  I/WE PLAN TO ATTEND FRIDAY & SATURDAY:

                        # __________  ATTENDING @ $75/PERSON =                                $__________

                        (OLD RUSTY ANCHOR INCLUDED IN PRICE)

___________  # ____ CLASS OF 1964 GROUP PHOTOS @ $20.00 EACH            $__________

                                                                                         TOTAL ENCLOSED      $ _________       

# ________ PLAYERS FOR SATURDAY GOLF TOURNAMENT

# ________ ATTENDING SUNDAY "NO-HOST" BRUNCH AT OMNI HOTEL              

MAIL THIS FORM AND YOUR CHECK (PAYABLE TO: NNHS CLASS OF 1964) AS SOON AS POSSIBLE TO:

NNHS CLASS OF 1964

P.O. BOX 6387

NORFOLK VA 23508-0387