Registration - Long Island Reunion – Oct 2009

Please indicate below activities you are interested in and mail the form with check made payable to:

The Bolles Family Association to:

Colleen DeLise

154 Cypress Drive

Kings Park NY 11754

A prompt reply will be appreciated.

Persons attending:

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Saturday’s excursion (includes box lunch)    _________    people at $50 per person       = $ _________

Dinner at LaStrada’s Saturday evening    _________    people at $38 per person             = $ _________

Group photo    _________    pictures at $10 per picture                                                    = $ _________

                                                                                               Total                                     = $ _________