Picton School 150th Reunion Registration

Picton School - Picton - Marlborough - South Island - New Zealand

150th ANNIVERSARY

Registration of Interest

Friday 8th April to Sunday 10th April 2011

Either fill in the Online Form below or

Print off the form as a pdf (235 Kb) here , fill it in and return to:
The Secretary
Picton School 150th Anniversary
18 Weka Place,
Picton, 7220

Registration of Interest Form
1. Full Name
2. Maiden Name:
3. Title
  Mr Mrs Ms Miss Dr
4. Address
5. Phone
6. Mobile
7. Email Address
8. Years at Picton School: From - To
9. Involvement
  As Pupil Staff Parent Committee/PTA/BOT/Dental Clinic etc
10. Registration of Interest $20.00
  internet cheque cash
  
  Please Note : This fee will be deducted from registration costs for the anniversary celebrations and is non refundable.
  
  Internet banking to
  
  Picton School 150th Anniversary
  A/C No: 03-1710-0069955-001
  Please put name in reference field
  
  Cheque payment to
  
  The Secretary
  Picton School 150th Anniversary
  18 Weka Place
  Picton, 7220
  h.jackson@actrix.co.nz