MHS CLASS OF 1958 REUNION

OCTOBER 18-19, 2013

 

REGISTRATION 

Name  

Address

 
City/State/Zip Code
 
Email Address

Phone No(s)

(Circle or check above information you want printed out on list for classmates)

I will be attending the reunion in October                                      Yes                  No

I will bring a guest with me                                                              Yes                  No

            Name of guest___________________________________

Enclosed is $65 per person                               Total amount enclosed:  $____________

(Check or money order made out to MHS Class of ‘58 Reunion)

Mail to:  MHS Class of ‘58 Reunion

                c/o Beth Clark

                3205 Grandview Ave

                Meridian MS  39305