5TH ANNUAL REGISTRATION FORM: @@ DATE: SATURDAY, 26TH JUNE, 2010 @@ VENUE: CONNECTICUT (ADDRESS WILL BE PROVIDED IN DUE COURSE) FEE:$100.00
Full Name
Nick Name(If Any)
Year Group
2nd Attendee
Email Address
Phone #
Address(Optional)
DO U NEED A HOTEL RESERV. OR CAN HOST SOME1 (OPT)?