MEMORIAL CLASS OF 1967 
70th BIRTHDAY PARTY

JUNE 22-23, 2019


Registration Form to Print and Mail

$25.00 per person
Deadline June 15, 2019



 Please complete form with payment

 

Name/First:___________________________Maiden/Last:________________________

S
pouse/Guest:___________________________________________________________

A
ddress:________________________________________________________________

City:__________________________State:__________________ZipCode:___________

Ph
one:______________________________Cell:_______________________________

Email:__________________________________________________________________


Number attending Birthday Party__________


Extra:

Count me in for...

Sunday Brunch____________(Cost not included in Registration)


Make check payable to: Memorial High School Reunion
Donations accepted and always welcome!

Mail to: Elaine Elsloo Dodd
3215 E. 57th Street
Tulsa, OK 74105


If you are in need of financial assistance for registration costs, please fill out the registration form and note on the form that you are requesting financial assistance. Your request will be kept confidential. Assistance is not available for hotel, transportation or Sunday brunch.