REGISTRATION
FORM
Please print, fill out and return to the addresses below
Classmate's Name:
Graduation Year:
Spouse or Date's Name:
Number attending ____ x $.... (with registration form) = $_________
(Cost is $.... for anyone registering after July 1 or at the door.)
____ Number of ham dinners ____Number of chicken dinners
Please check box that applies:
___ I would like to participate in basketball. ___ I would like to participate in band.
My instrument is ______________. (Music will be sent to you for that instrument.)
We may be able to have a yearbook printed with all photos taken at the
reunion.
Please fill out the information below and check the option that applies to you.
___ I do not mind if the reunion committee uses my information if a yearbook is made.
___ Please do not use my information. This is for the reunion committee's information
only.
___ I am not interested in a yearbook.
Personal information
Name:
Address:
Email address:
Phone:
Children:
Grandchildren:
Other info about me:
RETURN TO:
Class of 1980:
JANE (CHAPMAN) ALDERMAN
310 NELSON AVE.
SUMMERSVILLE, WV 26651
304-872-0082
Class of 1981 or 1983:
ROBBIE OR JENNY (RIDDLE) TAYLOR
18 CHERRY ST., RICHWOOD, WV 26261
304-846-4255
Class of 1982 or 1984:
TAMMY TAYLOR COLEMAN
6 HOME ST., RICHWOOD, WV 26261
304-846-2921
or
DIANA BENNETT STULL
P.O. BOX 61
FENWICK, WV 26202
304-846-6322