2003 Registration Form

2003 CLUB 40 REUNION REGISTRATION
September 5, 6, 7, 2003

Click here for the 2003 CLUB 40 REUNION ACTIVITIES

NAME:__________________________________________ CLASS YEAR__________

SPOUSE:______________________________ CLASS YEAR (If a Bomber)__________

ADDRESS ___________________________

E-MAIL ADDRESS ___________________________ Phone No. __________

    _______ 2003 ANNUAL CLUB 40 DUES - $5.00 per person or couple
                    (will receive Dust Storm newsletters)
    _______ FRIDAY NIGHT Activities at Shilo Inn
                    (food & dance $20.00/person - $40.00/couple)($25/$50 at the door)
    _______ SATURDAY NIGHT Dinner - Program - Dance at Shilo Inn
                    ($25.00/person - $50.00/couple)($30/$60 at the door)
    _______ SATURDAY TOUR OF 100-B REACTOR - Application
                    ($5.00/person - $10.00/couple) See application for additional
                     information required

    _______ TOTAL AMOUNT ENCLOSED
                     Make checks payable to: Richland High School Club 40
                     Return to: P.O. Box 1832. Richland, WA 99352

REQUIRED 100-B REACTOR TOUR APPLICATION

Return to the CLUB 40 website at:
http://Club.40.tripod.com