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Registration   and   Payment   Form

List names of attendees -- Please also indicate family name while living in Pepeekeo and which camp (Andrade, Kaupakauea, Kawainui, Lanchu, Maukaloa or Pepeekeo Mill Camp)

Names
Age
Cost
Camp/Family Name
                                  Total:            
Mail form(s) & check to:   Judith A. Parker
                                          94-214 Oheala Pl.
                                          Mililani, HI  96789
                                          Payable to Pepeekeo Planation Days,Inc
                                     Please do not send cash!
Other  Activities
If interested in the activities listed below, please complete.  Detailed information will be mailed to you at a later date.  Thank you.

DATE:  Friday,  July 12, 2002


Name
Bowling
Golf
Hanafuda
Handicap
(Bowling/Golf)

Your address (to mail the information):  ________________________________________________________________________

The Reunion Committee can really use your help!  If you can kokua (set-up, clean-up, entertainment, etc.), please let us know.  
     _____     Yes, I can help with ______________________________.
     Your Name:  ___________________________________________         Phone Number