Name: _______________________________________(married)

Name: _______________________________________(maiden)

Address: _____________________________________

_____________________________________________

_____________________________________________

Phone: home:_____________work:________________cell:______________

 

Email: ___________________________________________

Occupation: ______________________________________

Spouse's Name: ________________________________________________

Any Other Attendee's Names ______________________________________

Number of person's attending the reunion activities: __________

Are you interested in the Dutch ladies' lunch?    ____ yes    ____ no

 

Please print, fill out, and mail with registration fee ($75.00 per person) to:

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

Registration should be received by Sept. 10, 2008

Make check or money order payable to
Judy Berry Ross - Reunion Treasurer

And please update your profile online at www.ghs68.com