Registration Form

Khandallah School Reunion - Form 2 1969

Name: (including maiden name if applicable)
Address:



Country:
Telephone # (h):
Telephone # (b):
Mobile #:
Email (h):
Email (b):

I wish to register for the “Class of 69 Khandallah School Reunion” to be held on Saturday 7^th May 2005
I enclose payment of $67.00 which covers the two organised events (ie Guided tour of Khandallah School including afternoon tea, and Dinner at the Duxton Hotel)

Accommodation required

Yes / No

(If yes, please specify dates and number of people)

Please print and send completed form and money to Sue Haliburton.