EIGHTIES ERUPTION ISM ALUMNI REUNION REGISTRATION
Handlery Hotel San Diego CA  August 13-15, 2010

Mabuhay! Please type or print clearly:

NAME (LAST, FIRST): ____________________________________________

FULL NAME AS ENROLLED: _________________________________________

YEARS ATTENDED ISM: __________ TO ___________ CLASS: ___________

HOME ADDRESS ___________________________________________________  

HOME PHONE (INCL AREA CODE): ___________________________________ 

COMPANY/ORGANIZATION: __________________________________________

EMAIL: ___________________________________ [ ] HOME [ ] BUSINESS

GENDER:  [ ] MALE   [ ] FEMALE

NO. OF GUESTS (IN ADDITION TO YOURSELF): [  ] 

NAME(S) AND RELATIONSHIP OF ADDITIONAL ATTENDEES (I.E. SPOUSE)
NAME _____________________________  RELATION ___________________
NAME _____________________________  RELATION ___________________

STAYING AT THE HOTEL: 
[ ] 1 NIGHT   [ ] 2 NIGHTS  [ ] LONGER
[ ] NO, STAYING ELSEWHERE   [ ] NO, I LIVE NEARBY

PAYMENT METHOD
[ ] MAIL CHECK  [ ] ONLINE CREDIT CARD  [ ] CHECK/CASH AT DOOR
(Please make your check payable to: Jeepney Gang)

Note: This is a kid friendly reunion and kids under 12 are free!


FAVORITE 80S DANCE SONGS (ARTIST/NAME)
________________________________________________________________


Maraming salamat po! See you in San Diego!
FOR PAYMENT, ROOM RESERVATION & MORE DETAILS VISIT:
http://www.eightieseruption.com

Jeepney Gang 
PO Box 4284
San Rafael, CA 94913-4284 USA
Fax ++1-(425) 955-9001 
Email committee@eightieseruption.com