LIBYA RENDEVOUS 2019

DALLAS, TEXAS  --  JULY 18-20

PRE-REGISTRATION FORM

 

 

 

 

 

Verify Contact information

(please print)

LIBYA LAST NAME:___________________________

 

LAST NAME:________________________________

 

FIRST NAME:________________________________

 

SPOUSE:____________________________________

 

ADDRESS___________________________________

 

CITY______________________________ STATE______ZIP CODE______________

 

TELEPHONE NO._____________________________

 

***EMAIL__________________________________***

 

FACEBOOK: YES__________  NO__________

 

 

 

COMPANY AFFILATION _____________________________

(EX. OASIS, USAF, MOBIL, ETC.)

 

STUDENT/SCHOOL AFFILATION:

                O.C.S.______ WHEELUS______ BREGA______ A.C.S. (Benghazi)______

 

YEARS IN LIBYA (EX. 62-66 & 68-70)___________________________________

 

YEAR GRADUATED HIGH SCHOOL  19_______

 

 

 

 

LIBYA RENDEVOUS REUNION PRE-REGISTRATION (per couple) $30.00--------------------------------------($40.00 at the event)

Please make check or M.O’s payable to (sorry – we’re not able to accept credit cards)   LIBYA RENDEVOUS

SEND ALL ORDERS AND PAYMENTS TO: 

ADDRESS: P.O.BOX 128 – PARADISE, TEXAS – 76073

 

pre-registration must be received by JUNE 1, 2019) after that date event rate will apply