Registration Fee: $ 100 per person    Includes Sunday Picnic Day Fee  

 Sunday Picnic Day Fee: (for additional guest)

        **Adult                       $ 15.00 per person       __________number of Guest

         **Below 10 yrs. old   $ 10.00 per person       __________number of Guest  

    Membership Fee: $ 10 per alumni    

    Make checks payable to:   Renato De Vera

                                                      2451 Madrugada Drive

                                                      Chino Hills, CA 91709

     Please Note : No refunds will be given after July 14.

    Attire:    Filipiňana / Barong Tagalog  

  NAME:  Last*   First*   Maiden (if married)*  

  CLASS: * *year graduated or last year attended school

  RESIDENCE: City/Town* State/Province* Country*  

  PHONE NUMBERS: Home No.:   Cell No.:

  E-mail Address:

  Are you considering Tropicana Hotel for your stay?   Yes    No

   * required