UNB CLASS OF '59 REUNION IN 2005
APPLICATION FORM

Please send this form ASAP to Sheila Washburn, 181 Ross Terrace, Fredericton NB E3B 5W5.
Make the cheque out to Sheila Washburn, Life Treasurer, Class of '59.

Applicant's Name: ___________________________________________Faculty__________________

Address: ___________________________________________________________________________

___________________________________________________________________________________

Phone No. __________________     E-mail address   _______________________________________

Guest's Name _______________________________________ Amount Enclosed ________________

I/We will be attending:

Tour of King's Landing:

____ Yes ~~~ ___ No

Luncheon at the King's Head Inn:

____ Yes ~~~ ___ No

Lunch at Jack Oudeman's

____ Yes ~~~ ___ No

Meal choice for King's Landing:

Salmon Chowder:

____ Yes

For how many? ______

Joslin Salad:

____ Yes

For how many? ______

Do you have special dietary needs?     ___ Yes ~~~ ___ No.         They are: ____________________

Do you need transportation to King's Landing?         ___ Yes ~~~ ___ No.

Comments: ________________________________________________________________________

The house that Jack built is at 242 Stanley Street.

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