Class of 1978 - Reunion Registration
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Registration

First Name:
Last Name:
Maiden Name:
Address:
City
State
ZipCode:
Phone:
Parents Name:
Parents Address:
Number of People Attending:
Do you plan on participating in the bus run? Yes     No

To complete your online registration, please complete the following (YOU CAN RETURN HERE AFTER YOU REGISTER):

Pay Online

 Single Reunion Registration
$20.00

Couple Reunion Registration
$40.00
Class Picture - $15.00

 Bus Run - $7.00 Per Person

If you would like to add an additional donation to the class fund, we are grateful for your support!

bullet$50 Additional Donation 
bullet$30 Additional Donation 
bullet$20 Additional Donation 
bullet

$10 Additional Donation

Official PayPal Seal

Pay by US Mail

Go through regular mail, please send the Flyer you received in the mail (or downloaded from this site) with $15.00 for each person attending (plus $15.00 if you want the Class Picture) to:
 

Payable to the: CLASS OF 1973

c/o  Linda Jensen
1234 River Avenue
Harlan Iowa  51537

 

BE SURE AND INCLUDE YOUR CURRENT ADDRESS, PHONE NUMBER AND EMAIL ADDRESS WHEN YOU SEND IN YOUR MONEY!

Don't have the flyer?  Click here to download and print a copy!

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