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BENTLEY HIGH SCHOOL

Class of 1983

The Registrations are starting to roll in fast now as we get closer to the Reunion!! We have extended our deadlines for registering. To register and pay only $75.00 per person, act now and send in your forms and money by November 1, 2003. All registrations received after November 1^st will cost $85.00 per person. There will be NO REGISTRATIONS AT THE DOOR!!!

Return this registration form to "Bentley High School 83 Reunion" c/o 32421 Scone, Livonia, MI 48154.

Make checks payable to "Bentley 1983 Reunion". No refunds will be made after November 15, 2003.

A registration table will be set up outside of the banquet room on your arrival on November 28, 2003. Registration will begin at 5:30 PM. You will receive a name tag for you and your spouse/guest, and a reunion booklet. Your name badge will be colored to represent the entrée selection you’ve made below to assist the hotel staff with distribution of your meal.

Graduate Name __________________________________________________________

[First Name (Maiden) Last Name]

Spouse / Guest Name _____________________________________________________

Is your Spouse / Guest a Bentley Graduate? Yes / No If Yes, what year? _________

Address ________________________________________________________________

City __________________________ State ___________ Zip Code _______________

Phone Number________________________ Cell Phone _________________________

Email Address ___________________________________________________________

May we post your email address within the Class Roster on the website? YES / NO

May we post your mailing address within the Class Roster on the website? YES / NO

May we post your phone number within the Class Roster on the website? YES / NO

Total Number Attending ________

Cost per person $75.00

Total Enclosed ________

Please select the entrée for all attending below. Indicate the number of each entrée requested by entering a number next to the selection. (One entrée per attendee)

______ Entrée Number One – Cashew Chicken

______ Entrée Number Two – Salmon