190 Te Rangitautahanga Rd TURANGI 3334
Surname: First Name:
Maiden Name: Years in which you were at Ardmore:
Accompanying Partner / Caregiver:
Postal Address: Postal Code:
Email Address: Phone number:
Any special dietary requirements?
Cheque (Payable to Old Trouts Reunion) enclosed for: $75
($85 after 1st November 2020)
Payment using Online Banking to: Old Trouts Reunion, 06-0429-0339453-00.
IMPORTANT: Please include your NAME as the REFERENCE to your online payment