Complete the following requested information.

* Indicates the information is required

If you reply YES to a question, you MUST complete the fields that follow.

Full Name at time of Graduation *

First Name Middle Name Last Name

Married Name

E-Mail Address

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Contact Number *

- Area Code Phone Number

Cell Phone Number

- Area Code Phone Number

Birthdate: Indicate Month, Day, Year

Ex. - September, 24, 1950

Will you have any Guests attending? *

YES NO

If YES, Indicate how many guests

Guest Name

First Name Last Name

Guest Name

First Name Last Name

Brewery & Wine Tasting Tour @ $35 per person *

YES NO

How many will be going on the tour?

Choose your Group

Tour Group 1 Tour Group 2

Discover Chambersburg Walking Tour @ $8 per person *

YES NO

How many will be going on the tour?

Choose your Tour Group

Tour Group 1 Tour Group 2

Meet and Greet @ $10 per person *

YES NO

How many will be attending?

Saturday Evening Dinner & Dancing @ $50 per person *

YES NO

How many will be attending?

Total Number of Chicken Marsala Dinners

Total Number of Petite Prime Rib Dinners

Total Number of Broiled Haddock Dinners

Total Number of Vegetable Napoleon Dinners

50th Reunion Picnic @ $20 per person *

YES NO

How many will be attending?

PLEASE CHOOSE how you would like to submit payment.

PAYPAL: you will receive an Invoice from PayPal with your total due. Payments by Credit Card, Debit Card or Money Transfer can be made by PayPal. You DO NOT have to have a PayPal account to make your payment.

CHECK: payment instructions will be sent to your e-mail address.

Select your payment method: *

PAYPAL CHECK

After you submit your information,

you will receive the appropriate details to

submit your payment based on how

you chose to pay.

Please remit payment within 7 days after receipt.

Final Registration/Payment Due Date is July 15, 2018

NO REFUNDS after August 1, 2018

CASHS Class Of 1968 50th Reunion Registration Form

Guest Information - If you have more than 2 guests, just indicate the number. Submit the additional names by e-mail when you pay.

Choose which events you will be attending and indicate how many will be attending.

THURSDAY - SEPTEMBER 20, 2018 BREWERY & WINE TASTING TOUR - $35.00 per person

FRIDAY - SEPTEMBER 21, 2018 Discover Chambersburg Walking Tour- $8.00 per person

FRIDAY - SEPTEMBER 21, 2018 Meet and Greet - $10.00 per person 7:00 pm

SATURDAY - SEPTEMBER 22, 2018 DINNER & DANCING $50.00 per person 5:30 pm - 11:00 pm

DINNER CHOICES - Select from the following choices: Chicken Marsala, Petite Prime Rib, Broiled Haddock or Vegetable Napoleon In the next section indicate how many based on the number attending - Ex. 2 people attending 1 Chicken Marsala, 1 Petite Prime Rib

SUNDAY - SEPTEMBER 23, 2018 50th Reunion Picnic - $20.00 per person 12:00 NOON.

PLEASE CHOOSE how you would like to submit payment.