CLASS OF '81 REGISTRATION Name__________________________________________________________ Last Name in School______________________________________________
Class of 81 Friday, July 22, 2011
Address ________________________________________________________ City/St/Zip______________________________________________________ Email __________________________________________________________ Phone__________________________________________________________ Opening Night Mixer - No Host 6:00-10:00 pm Name of spouse/guest _____________________________________________ (if spouse/guest is classmate, check_____) The Duchess 2827 Northeast 55th Street _____ I will attend Mixer 7/22; [# in party [______] _________No Host Seattle, WA 98105-5529 _____ I will attend Reunion Dinner alone 7/23 ______________$65.00 m $85.00 All Classes Invited _____ I will attend w/spouse or guest _____________________$130.00 m$170.00 $65 per person by July 1 * $85 After July 1 & At Door Saturday, July 23 _____ I'd like to order a Memory Book ___________________$40.00 Dinner Dance (to be mailed by Sep 1, 2011) 6:00 pm-11:00 pm Enclosed is my check for $_________ payable to Twanda Hill NW African American Museum No checks accepted after July 1st, 2011 2300 S. Massachusetts St. Seattle, WA 98144 Charge my _____ VISA _____ MasterCard $ _________________ Menu: Choice of Grilled Salmon with White Wine Sauce or Cardholder's Name _______________________________________________ Cajun Baked Chicken Credit card # ____________________________________________________ Southern Style Rice Pilaf, Oven Roasted Potatoes, Seasoned Green Expiration Date ________________ 3 Digit Security Code _______________ Beans, Fresh Dinner Rolls and Butter, Pecan Mango Spinach Salad with Dressing and Chocolate Chip Bundt Cake w/Fresh Strawberries & Authorized Signature _____________________________________________ Whipped Cream No Host Bar MEMORY BOOK INFO Contact Information from above will be used in the book, $65 per person by July 1 * $85 After July 1 & At Door unless otherwise noted. Complete the Registration Form or pay online at www.Paypal.com (send money online to) twanda@twandahill.com Grad's Occupation________________________________________________ Checks can be made payable to Twanda Hill Children's Names & Ages __________________________________________ 12822 37th Avenue S, Tukwila, WA 98168 _______________________________________________________________ Check us out on facebook Notes __________________________________________________________ Roosevelt High School Rough Riders Class of 1981 Reunion _______________________________________________________________ Committee: Neil Ainslie, Jeff Barnes, Gail (Etherington) Pratt, Joetta Hendricks Preece, Mary Hendrix, Gust Kristonis, Michael Lambert, Nikita K. Pines, Nancy McKinney, Terrence Nielsen, Twanda (Smith) Hill