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Molalla High School 90th Birthday Bash—April 23, 2005

Please return your Registration by April 12, 2005 (Pre-registration required)

Name(s) ______________________________________________ Class Year(s) ________

        ______________________________________________ Class Year(s) ________

Address __________________________________________________________________

               (street)                (city)               (st)     (zip)

Phone (     ) ______________  Email _______________________________________

Luncheon                                  $15.00 ea    x # ________ = $ _______

Afternoon Tea Ivor Davies Hall                 N/C     x # ________ =     0.00

Wine tasting and Dance (must be 21)       $15.00 ea    x # ________ = $ _______

Cruise-in Reg. Fee                         $5.00 ea    x # ________ = $ _______

         (waived if attending lunch or dance)

Donation to the Scholarship Fund                                      $ _______

                                                        TOTAL         $ _______

Make check payable to Molalla Alumni Association and mail with this form to:

Molalla Alumni Association

P. O. Box 454

Molalla, OR  97038

Questions:  call Dori at (503)829-7488  www.molalla-alumni.org

 or e-mail at:  E-Mail Alumni Information

If you are bringing a vehicle to the Cruise-IN:

Year of Vehicle______ Make __________________  Model ____________________

                                                       (description)