Abitibi Canyon Reunion Order Form

Abitibi Canyon Millennium Reunion Registration Form

Package
(Please enter number of tickets each)


[ ] Adult Week-End Fun Pass @ $57 per person	[ ] Adult Week-End Cruise Pack Pass @ $69 per person
[ ] Child (6-12 years) Week-End Fun Pass @ $22 per person	[ ] Child Week-End Cruise Pak @ $28 per child (6-12 years)
[ ] Child (5 & Under) Week-End Fun Pass Free	[ ] Child (5 & Under) Week-End Cruise Pack Pass Free
[ ] Adult Week-End Golf Pass @ $69 per person

TOTAL NUMBER OF TICKETS:
TOTAL COST:


Name: __________________________________	Maiden Name (if applicable): ____________________

Address: _______________________________	City/Town: _______________________________

Province/State: ___________________________	Postal/Zip Code:: _______________________

Phone Number: ___________________________	E-mail Address: _______________________

PERSONAL INFORMATION:

How long did you live in Abitibi Canyon?:	From: ____________ To: ____________
What age were you when you left Abitibi Canyon?:	____________
What is your spouse's name?:	____________
Do you have children? ______	What are their names?: ______________________

Please print the names of the people who are included in this ticket purchase:

Please make cheque payable to "Abitibi Canyon Reunion" and mail with cheque or money order to: Abitibi Canyon Reunion, c/o Tina Pennell, 819 Fraser Street, North Bay, Ontario P1B 3X5