If paying by paypal or check please print out or use the one that you were mailed, fill out the form and mail with check to
Darcy Mitchell, 3855 SW Country Club Drive, Corvallis, OR 97333
If paying by PayPal, email completed form to firstname.lastname@example.org or mail to Darcy.
NAME: _____________________________________________ CHS alum: ___ CVHS alum: ___
First Last Name in HS Last Name Now (if different)
We will be compiling a Classmate Directory. Please check if you DO NOT wish to be included ______
In case there is a registration issue: Cell ________________ Email _______________________
Guest(s) names for name tags: ____________________________________________________
Friday/Saturday Package Price: $55. Spouse/Guest $50.
Includes Fri. Social/BBQ Meal, Sat. Picnic Location, Sat. Evening Meal & 2 Class Photos.
Indicate Saturday Meal Selections Prior to July 27th:
#______Herb Roasted Chicken # _____Pan-Seared Salmon Filet
#______New York Strip Steak # _____Vegetarian: Grilled Portabella Mushroom
Friday Social & BBQ Buffet Free w/package price #___________ attending.
If not paying Package Price (also payable at door) (vegetarian option______)
Entrance fee $10 x #______ = $_______ BBQ additional: $15 x #______ = $_______
Saturday Picnic # __________ attending. Bring your own lunch & beverages.
Late Registration if received after July 27th $5 x #______ = $_______
Scholarship Donation: Assist classmates in need to attend Friday & Saturday evenings $ _____
Sponsorships: Assist with reunion costs: mailings, venues, entertainment, etc. $____________
Total Purchase: $_____________ Check or M.O. (payable to Darcy Mitchell) # _______________
Refunds of 50% honored two weeks prior to reunion. $30 Return Check Fee.
Sunday Additional Activities:
Breakfast Brunch at Corvallis Izzy’s – No Host – Sunday morning #_______ attending.
Albany Historic Carousel & Museum Free Tour – Sunday afternoon #________ attending.