If you are interested to attend one or more of the events. Please complete this form so we can estimate numbers and other needs
First Name Last Name Home Phone E-mail
Are you interested to attend the celebration/reunion ... ?
Not really interested 1 2 3 4 5 Very Interested
How many people including yourself might attend ... ?
Would you like to attend all 4 days... ?
Yes No
For out of town events, HSK/TID, Parkes - would you prefer coach or private transport?
Coach OR Own transport
Coach
OR Own transport
Please add any comments here