Halibut 2021 Reunion Registration
Fredericksburg Texas
October 10-14 2021
Name_______________________________________________
Address _____________________________________________
City______________ State______________________________
Years Served on Halibut ________________________________
Contact Info Email_____________________________________
Contact Info Phone ____________________________________
Guests Name_________________________________________
Guests Name_________________________________________
Guests Name_________________________________________
Guests Name_________________________________________
Guests Name_________________________________________
Guests Name_________________________________________
Names should appear as you want them on Name Tags
Number of People _________ X $90 ______________
Check # ________ Amount__________
Make Check out to Halibut Fund
Mail form and check to
John Long 8385 Wheatland Rd N. Salem, Oregon 97303