Registration Form
Our next luncheon is Wednesday, October 18th, 2017 at 12:00 Noon at
Royale Orleans, 2801 Telegraph Road, St. Louis, MO 63125
(Please fill in all of the information below)
Please return this reservation with your check no later than October 11th, 2017 to:

McKinley Goldbugs
2819 Firelight Dr.
St. Louis, MO 63129
(314)845-3261
No refunds after October 14th, 2017.

  Price Total
No. Attending     _______   x   $13     = $_____________
Donations   $_____________
Newsletter Subscription ($6 minimum) $_____________
Scholarship Fund   $_____________
Total Enclosed   $_____________
     
IMPORTANT!  Make your check payable to McKinley Goldbugs - admittance is by paid advance reservation only.


Name______________________________________________(Include women's maiden name)
Address_______________________________________________
City______________________State_____Zip__________ Phone (        )________________
Email Address_______________________________Class_____Birthday______________
Spouse’s Name___________________________________________Class*_______
Guest’s Name____________________________________________Class*________
Guest’s Address*_________________________________________
City*______________________State*_____Zip*_________Phone*(        )__________________
This is my first ever Goldbug Luncheon * For McKinley alumni only