Babylon High School Class of ’74 Reunion Registration Form

Name:

Address:

City, State Zip:

Home Phone:

Home e-mail:

Work Phone:

Work e-mail:

Which is your preferred e-mail? (home, work) 

Please list the following in the address book: 

_____ my address
_____ my e-mail (home,  work, or  both)
_____ my phone number (home,  work, or both)

_____ Please DO NOT list me in the address book.

Events July 17-19, 2009	By May 31	June 1, 2009 or later	Number Attending	Total
Friday night casual get-together at Lily Flanagan’s Irish Pub in Babylon				Cash bar
Saturday night - Boat ride on the Moon Chaser	$65	$70
Sunday - Brunch at the Snapper Inn	$45	$50
Registration Fee				$5.00
			TOTAL COST

Make check payable to: BHS Class of '74 Reunion

514 Timber Lane

Falls Church, VA 22046

BHS Class of ’74 Reunion Web Site: http://www.bhs1974.com/