Registration Form

Coral Gables High Class of 1966

40-year Reunion

Registration Form

Full Name:

First ___________ Maiden___________Last____________

First name for nametag, if different _________

Contact address:

__________________________________

__________________________________

Contact Telephone No. __________________

E-mail address: ________________________

Friday night January 12, 2007 - Casual Gathering at Coral Reef Yacht Club, Coconut Grove - lots of food and cash bar

Saturday night January 13, 2007 - Tropical Chic attire - Dance and Dine-Great Band, Great Food, Great friends - Coral Gables CC

If Paid by Oct. 31st----If Paid after Oct. 31st

Number----Total

Friday night only $65--------Friday night only $75

_____ _______

Saturday night only $100----Saturday night only $115

_____ _______

Friday and Sat. Night $150--Friday and Sat. night $175

_____ _______

I want to be a sponsor:

Silver $250 (includes one (1) admission
to both nights,T-shirt, and memory book)

Platinum $500 (includes two (2) admissions
to both nights,T-shirt, memory book and 1/2 page ad)

Diamond $1,000 (includes two (2) admissions
to both nights,T-shirt, memory book, and full-page ad)

Sponsors $________

Sorry I can't make it, but I want a memory book ($25 each)

Memory book only $_______

I would like to buy an advertisement or sponsor a page
in the memory book (Platinum and Diamond sponsors
get a free ad)

Ad $________

Business card $25
1/4 page ad $50
1/2 page ad $75
Full page ad $100

Make checks payable to:
"Coral Gables 66-06 Reunion Committee"

TOTAL PAID __________

Mail to:
Charles Johnson
Richman Greer Weil Brumbaugh & Christinsen, PA
201 South Biscayne Blvd. 10th Floor
Miami, FL 33131