REGISTRATION FORM
Please print, fill out and return to one of the addresses below.
(Suggestion...copy registration form over to a Word document, type in information and then print.)

RHS 1985-1987 United Reunion, June 14th and 15th, 2002
Return completed form along with payment to RHS 86-89 United Reunion by May 14, 2002

Your Name:__________________________________________________________
Your Graduation Year:________
Spouse or Date's Name:________________________________________________
Spouse or Date's Graduation Year (if a RHS Graduate):
________

Number attending ____ x $25.00 (with registration form) = $_________
(Please make check payable to RHS 86-89 United Reunion)
(Cost is $30.00 for anyone registering after May 31 or at the door.)
____ Number of spaghetti dinners ____Number of lasagna dinners ______Number of vegetarian spaghetti dinners

Can we share specific contact information with other classmates? (circle either yes or no)
Your Info:                                                             Your Spouse or Date:
Yes/No - E-mail?                                                Yes/No - E-mail?
Yes/No - Address?                                            Yes/No - Address?
Yes/No - Phone?                                                Yes/No - Phone?

Your Personal information
Address:
E-mail address:
Phone:
Children:
Grandchildren:
Other info about me:

Spouse or Date's Personal Information (if an RHS Graduate)
Name:
Address:
E-mail address:
Phone:
Children:
Grandchildren:
Other info about my guest:

RETURN TO:

Class of 1986:
Jackie Carter
Lynn Street, Richwood, WV  26261
(304) 846-6858
jrcwv@yahoo.com

Class of 1987:
Jeromy Rose
53 East Main Street, Richwood, WV  26261
(304) 846-4868
jrose@richwoodwv.com

Class of 1988:
David Worrell
address
(407) 239-0107
hillbillytaz@hotmail.com

Class of 1989:
Denise (Taylor) Landrith
Indian Rocks, Craigsville, WV 26202
Telephone
Landrith@richwoodwv.com

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