Apollo-11 reunion Interest

If you are interested to attend one or more of the events. Please complete this form so we can estimate numbers and other needs

Please provide the following contact information:

First Name
Last Name
Home Phone

Are you interested to attend the celebration/reunion ... ?

Not really interested 1 2 3 4 Very Interested

How many people including yourself might attend ... ?

Would you like to attend all 4 days... ?

Yes No

For out of town events, HSK/TID, Parkes - would you prefer coach or private transport?



Own transport

Please add any comments here

John Saxon
14 Mar 2009