Gold Coast Dinner Dance Registration Form

Registration form for 10/11/08 SJS Reunion Dinner Dance

Written by Dorothy Mae Bennett

Tuesday, 24 June 2008

Name ________________________________________________ Class of ________________ Guest(s)_______________________________________________ _______________________________________________ _______________________________________________ Address __________________________________________________________ __________________________________________________________ __________________________________________________________ Phone No. _______________________________________________________ Email Address _____________________________________________________ Fee is $50.00 per person ( Add $10 more after 6/30/08) Amount. Enclosed ______________________________________ Check # ______________________________________________ Please Indicate entree______ Signature Prime Rib _______ Cornish Game Hen _______ Pacific Salmon in Lemon Chive Beurre Blanc Sauce Make checks payable to: Michael Cruz 15508 Lofty trail Court San Diego, California 92127 Ph - 858 716 9538 or Teresa C. Pamintuan 10283 Keoki St. San Diego, California 92126 Ph. - 858 586 9670