Nortel Networks Retirees' Association  
Fall Picnic Confirmation Form



Thank you for registering for the NNRA Fall Picnic to be at Lake Crabtree Park, Morrisville, NC on September 19, 2009.  

You will receive a notification when the registration form and check is received.

Please send these form along with a check
for txtTotal cost for the Picnic

payable to:
Nortel Networks Retirees' Association,
send to our Treasurer
Cleve Franklin
6909 Three Bridges Cr.
leigh, NC, 27613-3552.

You can  PRINT this form for submission and 
send along with the txtTotal Luncheon cost.
Use the Print Button on your Browser to print this page.

Your Registration Information
I will attend: MemberAttending
Spouse/Friend Attending: SpouseGuestAttending
Your Name: YourName
Spouse/Friend Name: SpouseFriendName
Email: EMail
Member & Spouse attending MemberSpouseAttending Member/Spouse Cost: MemberExtCost
Guest attending NumberGuest Guest Cost: GuestExtCost

Total Cost:

Change  Date RegistrationDate