CSDRAA web4 by fweiss70

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									                            CSDRAA 60th Anniversary
                               Registration form
Name:_______________________________ Class of:__________
Spouse/Partner:_______________________ Class of:__________
Address:_______________________________________________
City:_______________________ State:_______ Zip code:_______
VP: (_ _ _) _ _ _ ‐ _ _ _ _ E‐mail_____________________________

Name:_______________________________ Class of:__________
Spouse/Partner:_______________________ Class of:__________
Address:_______________________________________________
City:_______________________ State:_______ Zip code:_______
VP: (_ _ _) _ _ _ ‐ _ _ _ _ E‐mail_____________________________

Name:_______________________________ Class of:__________
Spouse/Partner:_______________________ Class of:__________
Address:_______________________________________________
City:_______________________ State:_______ Zip code:_______
VP: (_ _ _) _ _ _ ‐ _ _ _ _ E‐mail_____________________________

Name:_______________________________ Class of:__________
Spouse/Partner:_______________________ Class of:__________
Address:_______________________________________________
City:_______________________ State:_______ Zip code:_______
VP: (_ _ _) _ _ _ ‐ _ _ _ _ E‐mail_____________________________

Name:_______________________________ Class of:__________
Spouse/Partner:_______________________ Class of:__________
Address:_______________________________________________
City:_______________________ State:_______ Zip code:_______
VP: (_ _ _) _ _ _ ‐ _ _ _ _ E‐mail_____________________________
Payment methods:                                 Money Order  ‐or‐ PayPal
Money Order Payable to CSDRAA, mail to: Fred Weiss, CSDRAA Reunion Treasurer 3044 Horace, Riverside, CA. 92506 

								
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