Registration Form
Our next luncheon is Wednesday, June 20th, 2012 at 12:00 Noon
at Royale Orleans, 2801 Telegraph Road, St. Louis, MO 63125 (Please fill in all of the information below)
Please return this reservation
with your check no later than
June 13th, 2012 to:

McKinley Goldbugs
6907 Woodsmere Circle
St. Louis, MO 63129
(314) 846-0912
No refunds after June 16th, 2012.
    Price Total
No. Attending _____ $12.50  = $_____________
Donations     $_____________
Newsletter Subscription     $_____________
Scholarship Fund     $_____________
Total Enclosed     $_____________
       
IMPORTANT!  Make your check payable to McKinley Goldbugs - admittance is by paid advance reservation only.

Name______________________________________________(Include women's maiden name)
Address_______________________________________________
City______________________State_____Zip__________ Phone (        )________________
Email Address_______________________________Class_____Birthday______________
Spouse’s Name___________________________________________Class*_______
Guest’s Name____________________________________________Class*________
Guest’s Address*_________________________________________
City*______________________State*_____Zip*_________Phone*(        )__________________
This is my first ever Goldbug Luncheon * For McKinley alumni only