Registration Form

17th Annual Retirees’ Rendezvous
 McConnell State Recreation Area

Please return form and payment by September 15, 2009 to
Allison Pedley, Executive Manager, CSPRA, P.O. Box 10606, Truckee, CA 96162

Include Registration Fee With Form, Checks payable to: CSPRA
 

 
Name/s ________________________________________________________________
 
Address ____________________ City __________________State____ Zip __________
 
Phone (_______) _____________________ E-mail _____________________________
 
______Number attending the 2009 Retirees’ Rendezvous. __ x $5.00 per person =  $ ____
 
______ Number attending the "Clyde Strickler Road Kill Grille", Friday evening, October 2nd

______Number attending the Continental Breakfast, Saturday morning, October 3rd
 
______Number attending the Saturday night barbecue: free to retirees & spouses,
           all others $8.00 per person:   ___ chicken     ___ beef                                $ ____                                                            
            Total Enclosed                                                                                         $ ____
 
______ We will stay at McConnell State Recreation Area in a tent or RV.
Note: no hookups, however, water and combination building are available. RV Sanitation station available Turlock at the Chevron Station, Lander at Hwy. 99.
 
______ We will stay at a local motel or commute.

 Please return form and payment by September 15, 2009 to
Allison Pedley, Executive Manager, CSPRA, P.O. Box 10606, Truckee, CA 96162