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40th Reunion Online Registration Form

1. Your name in high school:
2. Current name (if changed):
3. Street Address:
4. City, State, Zip:
5. Telephone(s):
6. E-Mail:
7. Occupation:
8. Spouse's Name:
9. Any Other Attendee's Names:
10. Number of person's attending the reunion activities:
11. Are you interested in the Dutch ladies' lunch?

Make check or money order ($75.00 per person) payable to:
Judy Berry Ross - Reunion Treasurer

Mail to:
Judy Berry Ross - Reunion Treasurer
306 Lakeview Drive
Leland MS 38756

Registration should be received by Sept. 10, 2008