Reunion Information Form

BMR75 Reunion info request
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail
example@example.com
Phone Number

Area CodePhone Number
BMR 75 50th Reunion

Gia Ristorante

785 Quaker Highway, Uxbridge MA
- Saturday October 4th 5:30 PM cocktails, 6:30 dinner
- Tickets: $ 50.00 per person
- Questions? send us an email to bmr75(at)bmr75.org
- Further information regarding menu choices will be sent to the email you have registered here.
  
  Be sure to note any dietary restrictions below
* * Note: after you submit this form, we will send the particulars about where to send your money, and menu information

Looking forward to seeing you on October 4th!
Dietary Considerations
Classmates! We are urgently looking for several of our classmates. If you know of any who might not have known about the reunion, please give us their names, and a way to reach them.
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BMR75 Reunion info request