CCS & CRCS 14th Alumni Weekend
July 13th & 14th, 2012

For reservations, please return this form with payment by June 13, 2012 to:
Cuba/Cuba Rushford Alumni Association - P.O. Box 150 - Cuba, NY 14727
Please note: Reservations for the buffet must be made by June 13, 2011
 
Name: ___________________________________________________ Class of: ________________________
Name: ___________________________________________________ Class of: ________________________
Address: _________________________________________________ Email: __________________________
Address: _________________________________________________ Email: __________________________

(Please be sure to include first, last and maiden name)

  
                                                                        
Buffet Reservations for ____________ people at $ 22.50 each for a total of  $ ____________
Buffet Reservations for Class of 0000 for ____________ people at $ 0.00        $ ______________
Dues for 2012 - 2013 for _______________ people at $ 5.00 each  $ ______________
50-50 Raffle (3 for $ 5.00)  _____ tickets for a total of   $ ______________
I would like to make a donation "in memory of" _________________        $ ______________
Total enclosed: $ ______________
Golf: (please circle) YES or NO ( $ 30.00 per person; payable day of tournament)
Name: _____________________________________
Name: _____________________________________
Please note: All golf fees payable at the Golf Course. Please list a foursome if you wish.
Cannot accept golf reservations after July 1st due to cart restrictions. Registration for golf can be completed by returning this form or by phoning Gary Nease at 585-968-3095 or by email.

If you are planning on joining us for the pontoon boat ride please indicate how many ____________ and names ___________________________________________________________.


Please print out this form and mail it with payment to the above address.
 

50/50 RAFFLE (please fill out and mail tickets with Reservation Form)

Name _____________________________
Address ___________________________
__________________________________
Phone _____________________________


50/50 RAFFLE

To benefit the Cuba/Rushford Alumni Association
Drawing to be held at Alumni Reunion
3 tickets for $ 5.00
 
Name _____________________________
Address ___________________________
__________________________________
Phone _____________________________


50/50 RAFFLE

To benefit the Cuba/Rushford Alumni Association
Drawing to be held at Alumni Reunion
3 tickets for $ 5.00
 
Name _____________________________
Address ___________________________
__________________________________
Phone _____________________________


50/50 RAFFLE

To benefit the Cuba/Rushford Alumni Association
Drawing to be held at Alumni Reunion
3 tickets for $ 5.00
 
Name _____________________________
Address ___________________________
__________________________________
Phone _____________________________


50/50 RAFFLE

To benefit the Cuba/Rushford Alumni Association
Drawing to be held at Alumni Reunion
3 tickets for $ 5.00
 
Name _____________________________
Address ___________________________
__________________________________
Phone _____________________________


50/50 RAFFLE

To benefit the Cuba/Rushford Alumni Association
Drawing to be held at Alumni Reunion
3 tickets for $ 5.00
 
Name _____________________________
Address ___________________________
__________________________________
Phone _____________________________


50/50 RAFFLE

To benefit the Cuba/Rushford Alumni Association
Drawing to be held at Alumni Reunion
3 tickets for $ 5.00