White Bear Mariner Class of 1981, Reunion Registration

.

Please complete this on-line form for registration to the White Bear Mariner Class Reunion.
Please understand that submitting this form still requires payment prior to
your registration being accepted as complete.

Please print this page prior to submitting and
mail with your payment to:

White Bear Mariner Class Reunion
c/o Rob Peterson
14506 Tonka Downs Dr.
Minnetonka, MN 55345

Make checks payable to Mariner Class of 1981 in the amount of $35.00 per person.
After October 1, 2011 the cost is $40.00

First Name
Last Name
Maiden Name (if applicable)
Spouse Full Name

E-Mail Address
Phone Number

Address
City
State
Zip Code

Attending the reunion?
If Yes....
If Guest, Full Name
Playing Golf?
If playing golf....
Player Name
Player Name
Player Name

Cash Donations
Other Amount
If you would like to make a donation to the class to help defer some of the costs associated with the website, the reunion, postage, etc, please feel free to pick an amount from above or enter an amount of your own. Any donation is greatly appreciated.