Class of 1966 Main Event
Registration Form

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ENTER YOUR CONTACT INFO

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DATE OF COMPLETION

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WHAT IS YOUR FULL NAME?

Submit
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WHAT IS YOUR MAIDEN NAME?

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FULL ADDRESS: INCLUDING CITY STATE AND ZIP CODE:

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BEST CONTACT NUMBER

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WHAT HIGH SCHOOL DID YOU GRADUATE FROM?


CENTRAL
NORTHERN
NORTHWESTERN
SOUTHWESTERN
Other
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HOW MANY TICKETS DO YOU NEED FOR THE MAIN EVENT WITH YOU?


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PROVIDE THE NAME OF YOUR GUEST(S)

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PAYMENT OPTIONS FOR TICKETS

CHECK: PAYABLE TO H.S CLASS OF 1966?/ MAIL TO:LINDA GILLEYLEN 1118 BARRINGTON DR FLINT, MI 48503
CASH APP: $citywide66-Be sure to add your name and Main Event on the FOR line
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ARE YOU ORDERING A SOUVENIR BOOK?

Yes
No
Maybe
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PAYMENT OPTIONS FOR SOUVENIR BOOK

CHECK: PAYABLE TO FLINT H.S CLASS OF 1966 / MAIL TO : LINDA GILLEYLEN 1118 BARRINGTON DR FLINT, MI 48503
CASH APP: $citywide66-Be sure to add your name and Main Event on the FOR line
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DO YOU HAVE ANY QUESTIONS REGARDING THE REUNION?

Submit
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Thank you!

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