Reunion Registration Form

Halibut 2020 Reunion Registration

Fredericksburg Texas

October 11-15      2020

Name_________________________________________

Address _______________________________________

City______________

State______________________________

Years Served  on Halibut (From – To) ______________________

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