Registration form: 5th World Wide Somsen reunion. IJzerlo, 7-9 July 2017

Full names and ages of the participants (include P-numbers when possible):

        

        

        

        

        

Address:

Phone number:

E-mail address:

 

To register, please fill up the form and return (preferably by e-mail to info@somsen.org). Registration cost is $ 28 per person (for the Saturday program). Children up to 12 years old are half price and children up to 3 are free of charge. Please pay through Paypal (use the button on www.somsen.org). or by cheque to Stephen D. Somsen (47231 East Fir Street, P.O. Box 526, Darrington, WA 98241). Please cite: reunion 2017.