Reunion Application

HARBOUR VIEW REUNION APPLICATION

Name of Applicant: _________________________________________________________

Current Address: _________________________________________________________

Telephone: _________________________ Cell #:__________________________

E-mail address: _________________________________________________________

Where in Harbour View do/did you live?:___________________________________________

_________________________________________________________________________

Suggested venue for the reunion:

__________________________ / ___________________________ / _________________

City State/Province Country

State briefly, the reason this venue should be chosen for the Reunion:

As a host and/or representative of the next Harbour View Reunion Organizing Committee, kindly sign below to indicate your agreement to abide by the criteria and guidelines as set out by the Advisory Committee

_______________________________________ _______________________________________
NAME IN BLOCK CAPITALS (Host/Committee Member 1) NAME IN BLOCK CAPITALS (Host/Committee Member 2)

_______________________________________ ________________________________________
Signature Signature

____________/_____________/______________ ____________/______________/______________
Date Date

Once completed, kindly submit this form to the Harbour View Reunion Advisory Committee:

by mail : c/o Harbour View Reunion Advisory Committee
16814 SW 36 Street
Miramar, FLORIDA 33027

_____________/___________/______________

DATE APPLICATION SUBMITTED

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