Name___________________________________________________

Address_________________________________________________

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Home phone____________Work______________Cell____________

Email___________________________________________________
 

Cost is $50 per person for picnic and dinner / dance until July 15. Afterwards, cost is $55 per person. On-site registration is $60. Additional guests for picnic (not attending dinner / dance) is $10.

_____(number of persons) attending picnic, dinner / dance @ $_____per person = $_____

_____(additional persons) attending picnic @ $10 per person =                              $_____

Names of additional persons attending picnic:                                    TOTAL          $_____

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Please make checks payable to:  BHS Class of 1981
                                                  c/o Robin Lee Crawford
                                                  909 Arapaho Ct.
                                                  Columbus, GA 31904