California Sakeji Reunion 2004

Registration Form

California Lutheran University, Thousand Oaks, California
July 15 - 19, 2004

Please print out this form, fill it out, and return it with your payment to the address listed at the end of the form.

Name(s):_____________________________________________________

Mailing Address:______________________________________________

___________________________________________________________

___________________________________________________________

E-mail Address:______________________________________________

Phone Number: _____________________________________

Number of Adults: _______________

Number of Children and Ages:_________________________________________

I/We would like to share a room/suite with:

______________________________________________

What years were you at Sakeji? ___________________________

Amount Enclosed:_________________________________

The cost of the reunion is US $272 per person, double-occupancy, for the entire weekend (only $68 per person per day) (Single supplement price available on request). Please make payment in US Dollars with check or money order payable to: "California Sakeji Reunion". Please mail this form and payment to:

California Sakeji Reunion
P.O. Box 40912
Pasadena, CA 91114-7912
USA

Registration and full payment deadline: May 15, 2004 June 15, 2004. (But sooner if possible!!) Cancellation policy: With written notice received by May 15, 2004, 50% refund of total amount per person. No refunds after May 15, 2004.

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