Narimasu High Reunion - Sign-up Form

This is an online registration form. Please check out all the events and choose the ones you are going to attend. You are still responsible to mail payment for the total cost. Your confirmation will be your cancelled check. Please print a copy of the completed form for your records. If you are having trouble submitting the form please mail a copy of the form to Kirby Kudiza at the address listed below.

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* Required Fields
Name *
Spouse/Guest
Address *
City *
State *
Zip Code *
Country *
Telephone *
E-mail
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Choose all of the Events you wish to attend:

BBQ $10.00
San Francisco $20.00
Sonoma $30.00
Dinner $40.00
Sunday Brunch $20.00
Your total is:	�

Please make check payable to "Kirby Kudzia"

Mail check to:
1614 Van Buren Street
San Mateo, CA 94403