Name : .............................................. , ...............................................
(surname, forename)

If registering on behalf of your family, please supply the following details:

Name of spouse/partner: .................................... , .....................................
(surname, forename)

Name of children attending (i.e those of primary school age):

Family Branch : Please tick the appropriate box for each person attending:
(Please use an * to indicate relationship by marriage).

	2nd Generation	3rd ,	4th ,	5th ,	6th .
1	John Peter	.	.	.	.
2	William Joseph	.	.	.	.
3	Jacob Albert	.	.	.	.
4	George Cecil	.	.	.	.
5	Eric Harold	.	.	.	.
6	Katherine Elisa	.	.	.	.
7	Alice Elisabeth	.	.	.	.
8	Oscar Howard	.	.	.	.
9	Karl	.	.	.	.
10	Oswald Vernon	.	.	.	.
11	Allan Oliver	.	.	.	.
12	Phillips Family	.	.	.	.

Accomodation:

A list is available and each party is required to make their own arrangements. We have advised the various establishments that the Reunion will be taking place but no other special arrangements have been made. Please ensure you make bookings at an early date.

Fees:

• A. Registration Fee.

  We have kept fees to a minimum. They cover costs of administration and costs involved with the catering, venue hire and the various activities during the Reunion Weekend. (There will be no charge for pre-school age children).
  
  The registration fee does not include the price of a ticket to the Reunion dinner to be held on the Staurday evening.

  Fee Schedule

  Couple	$35.00	$..........
  Single	$25.00	$..........
  Child x	$10.00	$..........
  Dinner x	$26.00	$..........
  Total	$	$..........

  
  

• B. Reunion Dinner.

  The cost of the ticket excluding drinks is $26
  (table wine and fruit juice included).

  Please indicate the number attending:	...........
  Total Payable:	$..........

  
  

• C. Sunday Bus Tour and Picnic Lunch.

  At this stage we expect to include the Tour and Lunch at a nominal charge to cover actual costs, probably about $5 per head. Payable at the time. To assist with planning would you please give some indication of numbers who may be interested in participating:

  Sunday tour likely number attending:

  ...........