REGISTRATION FORM:

POST TO:
Reunion Secretary,
Janeve Green,
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)
or
Payment using Online Banking to: Old Trouts Reunion,  06-0429-0339453-00.
IMPORTANT:  Please include your NAME as the REFERENCE to your online payment