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Registration Form

Carleton in Bar Harbor

July 15-18, 2004

Use the reservation form below to reserve a place for the Bar Harbor Weekend.

Name_______________________________________________Class Year_____

Name_______________________________________________Class Year_____

(If applicable)

Address___________________________________________________________

City, State, Zip+4___________________________________________________

Phone (daytime)_________________E-mail______________________________

Names of others in your party:_________________________________________

Please hold __ spaces for the Bar Harbor Weekend: ____ @ $100/person= $____

CREDIT CARD PAYMENT: MasterCard Visa Discover American Express (circle one)

CHECKS: Please make checks payable to Carleton College.

Card Number____________________________________Expiration Date____________

Signature______________________________________________________

RETURN THIS FORM TO VIA FAX TO 507-222-4445 OR MAIL TO:

Bar Harbor Weekend

Carleton College Alumni Affairs Office

One North College Street

Northfield, Minnesota 55057

Phone: 800-729-2586