Please fill out the registration form below.

* Indicates a required field

Name *

Address

City, State, Zip

Spouse's (Guest's) Name

Email *

Phone * (Please indicate whether this is your home or cell phone)

Second Phone (Please indicate whether this is your home or cell phone)

Kid's Names and Ages

When are you arriving in SRQ? (date, time)

When are you leaving? (date, time)

I (we) will be attending: Gator Club (Fri. 11/9, 5:30 - 8:30) Classic Car Museum (Sat. 11/10, 6 - midnight) Siesta Beach (Sun. 11/11, 10 - 2) Children attending picnic?

Payment is $150 per person (adults only). Due by October 19. You may mail a check made out to: Pine View Class of 1987 Reunion 424 Bellini Circle Nokomis, FL 34275 Or EFT to PV Class of 1987 To do this you need to know your account and routing numbers. You'll also need the address listed above and possibly the phone number associated with the account which is: (941) 966 - 3624. Please contact us if you have more questions about this option. Or PayPal There will be an opportunity to pay through PayPal after you submit this form. Due to paypal fees, it will be an extra $5 per ticket if you're paying through PayPal.