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Print out this form and send with check to address below....

 Laughlin Reservation Form

February 22 – February 27,  2009

Cost - $ 75.00 per person (If Sent To Arrive By January.1st, 2009)

After Jan.1, 2009... Cost - $80.00

 Name:________________________________________________________

Year Graduated From NE:__________

Spouse or Guest Name:__________________________________________

If Spouse or Guest Graduated From NE... Year Graduated:___________

Address:______________________________________________________

City:_____________________________________

State:_____________   Zip:____________  Phone:____________________

 Email Address:___________________________________________

Indicate Interest: # _______ The Oakridge Boys Concert (Optional) $36.50 Per Person 

 Indicate Interest: # _______ Jet Boat To Havasu (Optional)
(We will email you with the cost of the Jet Boat event) 

Amount Enclosed: $__________________

 Mail Checks Payable To Treasurer: "Carol Lee Piraro"

Send This Form And Check To:

 Carol Lee Piraro
5245 S. 68th E Ave.
Tulsa, OK  74145


Copyright © 1999 Northeast Alumni Association. All rights reserved.
Revised: June 02, 2008