Response Form
Reunion 2004

 

Due by May 31st; Payment by September 1st

We would appreciate your response even if you are unable to attend so that we can confirm that you received this message. Please include your maiden name. E-mail or mail form to Tom Brackin. Cost is $85.00 per person for weekend activities. Mail money to Tom before September 1st. We also would appreciate your telephone number, e-mail addresses or fax number and address so that we can improve communications among classmates or get back to you if we have questions about your reservation.

Name___________________________ Class of_____ Telephone #_____________________
E-mail address____________________   Fax # __________________________

Address _______________________________________________________________________

Will Attend__________ Unable to attend ______________

 

Events Number Attending
Staying at Embassy Suites
(Make your own reservation)
________
Friday evening reception in Waterview Room, cash bar ________
Friday evening dinner at Bistecca in Embassy Suites ________
(Call or email Embassy at 973-334-1440
or nancy_manrique@hilton.com to reserve space in the dinning room by Oct 2nd. It is a la carte, entries are $15-$24
pay at Embassy as food is purchased)
 
Saturday Evening @ Club ________
Sunday Brunch ________
(Brunch is free for those staying at the Embassy; others pay $15 directly to Embassy at front desk)  

Please return this form with check payable to Tom Brackin at the following address:
Tom Brackin, P.O. Box 68, Mountain Lakes, NJ 07046
You may call Tom (973) 334-1316 day or (973) 697-2371 evenings or e-mail at tbrackin@optonline.net

 

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