REUNION PAYMENT FORM
FAMILY NIGHT JULY 22
Attending?
=
# of Adults aged 13+ x $20 each
Names/Ages
x $10 each =
# Children ages 5-12
Names/Ages
# Children under 5 x $0 each =
Names/Ages
TOTAL FOR FAMILY NIGHT
ALUMNI NIGHT JULY 23
Attending?
TOTAL FOR
ALUMNI NIGHT
x $40 each =
# of Adults Attending
Full Names
YEARBOOK ON CD
1974
x $29.95 each
=
x $29.95 each
1975
=
x $29.95 each
1976
=
TOTAL FOR YEARBOOK ON CD
TOTAL FOR FAMILY NIGHT + ALUMNI NIGHT + YEARBOOK  ON CD
     COMPLETE FORM AND SEND
   WITH CHECK  FOR BOTH NIGHTS TO:
            Sharon Smith Huntington
                 2604 N 107th St
              Kansas City, KS  66109
   
TO PAY BY CREDIT CARD GO TO THE
Reunion Page at www.ClassMates.com and enter your info at the BUY TICKETS link.
OR...Mail the following info with this form:
VS or MC?
Name on Credit Card
Card #
Expiration Date
3 digits after account # on back of your card
Billing address/City/State/Zip
Phone #
If we process your charge for you we will send you an e-mail confirmation.
    
   
RETURNED CHECK/CHARGES
WILL  REQUIRE
PAYMENT IN CASH
If you have questions contact us at [email protected]  or
call 847-265-2382 (Becky)
or   913-334-1314 (Sharon)
or    913-449-5260 (Kathi)
INDICATE SPECIAL DIETARY
NEEDS HERE:
Hosted by www.Geocities.ws

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