2001 LFA Reunion Registration Form

Name
Address
Phone
E-Mail

Please sign me up for:

Item/ActivityPrice# of PeopleTotal
2001 Dues$15 per household(N/A)
Dinner Banquet Tickets$15 per person
Breakfast Tickets$5.00 per person
GRAND TOTAL:

Please print and send this form, along with your check (payable to the "Loughrey Family Association of America"), to reunion co-chair Delores B. Loughrey Nielsen at:

LFA Reunion Registration
c/o Delores B. Loughrey-Nielsen
114 N. Hawthorn Drive
Altoona, IA 50009-2613

Registrations must be received by June 10, to make sure you'll have a spot at each event requested!