(Print and send to:
Tina Barnett tinabarnett8@gmail.com Mobile: 027 5266 281)
Surname …………………………………..…………………………….……………..
First name …………………………………..……………………….………………..
Maiden name? ……………………………………………………………..…………
Accompanying Partner/Caregiver? ………………………………………………………………..
Address …………………………..…………………………………..………………………………………..
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Email ………………………………………………….………………………………..
Phone …………………………………………………………..……………………..
Any special dietary requirements?
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REGISTRATION / REUNION PAYMENT ($80 per person)
Bank Account Name: Ardmore Reunion
Bank Account Number: ASB – 12 3118 0527426 50
(NOTE: Please include your name as reference)
Registrations close Friday 14 October 2022
(Please register early for catering purposes)
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