CCS & CRCS 21st Alumni Weekend
July 12 & 13, 2019

For reservations, please return this form with payment by June 15, 2019 to:
Cuba/Cuba Rushford Alumni Association - P.O. Box 150 - Cuba, NY 14727
Please note: Reservations for the dinner must be made by June 15, 2019

 

Name: ___________________________________________________ Class of: ________________________
Name: ___________________________________________________ Class of: ________________________
Address: _________________________________________________ Email: __________________________
Address: _________________________________________________ Email: __________________________

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

 
                                                                        
Dinner Reservations for ____________ people at $ 22.50 each for a total of  $ ____________
Dinner Reservations for Class of 1969 (free for class members) for ____________ people at FREE       $ ____________
You need to pay your dues and make reservations. Free for class members only - guests are $ 22.50  
Dues for 2018 - 2019 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: $ ______________
Tim Rinker Memorial Golf Tournament
Golf: (please circle) YES or NO ( $ 40.00 per person; payable day of tournament)
Name (s): _____________________________________
Name (s): _____________________________________
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 Tom Burt at 585-968-3465 or by email.
Limited to the first 100 golfers - cannot just show up; must make reservation.

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.
Please note that this is the ONLY official site for the CCS & CRCS Alumni. Do not respond to any other offers of membership!


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
 

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