PRE-REGISTRATION FORM      2012 Oakland - Pontiac Worldwide Homecoming

 

NAME:  _________________________________ SPOUSE:__________________________________

ADDRESS:_________________________________________________________________________

________________________________________________________________________________

GUEST or CHILDREN:  _________________________________________________________________

 

______________________________________________________________________________

CHILDREN AGES:  __________________________________________________________________

PHONE:  ____________________________  CELL:  ______________________________________

CAR:   OAKLAND: ________    PONTIAC: ________        YEAR:  _______    MODEL:  _____________ 

 

 

Please include a photo of your car with your registraion.

 

_________________________________________________________________________________________________________________________

 

_________________________________________________________________________________________________________________________

 

TO REGISTER, PLEASE PRINT OUT THIS FORM

All inclusive Pre-Registration Fee: $85 per person

This years tour will be an all-inclusive one time per person price of $85.
This includes your Registration Fee, Reception Dessert, Tour Luncheon,
Banquet Ice Cream Social. Ladies Tea, Entertainment and Admission
to all Tour Attractions and more. Children under 16 years are free.

Make check payable to:  Oakland-Pontiac Worldwide
Mail completed registration form and check to:

Marilyn Lewis
603 South Drive
Marissa, Illinois 62257

Phone (618) 295-3384
e-mail: liwisfmjk@yahoo.com

 

Host Hotel - Best Western
Address - 1821 W. Reynolds Street
City - Pontiac IL. 61764
Reservations - Phone 815-842-2777