50 Years of PA Pride
REGISTRATION FORM

Please print, complete, and return to:
Princess Anne High School 50th Anniversary
4400 Virginia Beach Boulevard
Virginia Beach, Virginia 23462

Name: ____________________________________________________
Address: __________________________________________________ _________________________________________________________
Phone #: ______________________ Fax #: ___________________
E-mail: ___________________________ Class of: ________________ (Give Year)
Guest: __________________________________________________
Is your guest an alumnus? __________ Class of: ________________ (Give Year)
I will be attending (check all that apply)
_______ April 23, 2004 - Meet Greet Night - Open House at PAHS (7-9)
_______ April 24, 2004 - Carnival at PAHS (10-2)
_______ April 24, 2004 - Cocktail Party/Dance at Virginia Beach Pavilion (8-12)
_______ # of tickets needed for Cocktail Party/Dance (include yourself & guest(s) in count)

Tickets are $35.00 per person.
Enclose check or money order made payable to Princess Anne High School 50th Anniversary with registration form.
To secure the $35.00 price your payment must be received by March 1, 2004.
If received after March 1, 2004 and by April 1, 2004, the price will be $40.00.
Payment submitted after April 1st and before the final deadline of April 15, 2004, will be $45.00.

__________________ Total Amount Submitted

Form provided by JISCorp, www.jiscorp.com jim@jiscorp.com 2004