REGISTRATION FORM

 

PLEASE PRINT YOUR FULL NAME & ADDRESS CLEARLY

 

NAME: _____________________________________________

SMSD CLASS OF _____

ADDRESS:___________________________________________

CITY: ____________________  STATE: _____  ZIP: ________

EMAIL: _____________________________________________

SPOUSE’S NAME: ____________________________________

SMSD CLASS OF: _____

What is your meal preference for the banquet?

TOTAL AMOUNT:  ______

Please complete registration form & pay ONLY with
money order or check to SMSDAA.

Ticket(s)	Adult(s)	Child(ren)	Senior Citizen(s)
Early Bird
Combo
Friday
Saturday
Sunday

 

Chicken in Filo	Grilled Filet of Sirloin	Fettucini