High School Reunion Registration Form
REUNION DATE:
November 11, 2019
EVENT LOCATION:
3252 Cardinal Lane, Quincy, IL, 62301
TIME:
3:00PM - 12:00AM
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Profession
Preferred Name Tag
Class Section
Emergency Contact Person
First Name
Last Name
Emergency Contact Person Phone Number
Format: (000) 000-0000.
Relationship
Are you going to bring some guest? If yes, then please indicate below:
*
Payment Details
prev
next
( X )
Registration Fee - Batch Member
$150.00
$
150.00
Registration Fee - Guest
$75.00
$
75.00
Quantity
Reunion T-Shirt
$25.00
$
25.00
Quantity
T-Shirt
XS
S
M
L
XL
XXL
XXXL
Reunion Photos - Digital
$15.00
$
15.00
Reunion Videos - Digital
$20.00
$
20.00
Payment Method
Please Select
Cash
Credit Card
Check
Bank Transfer
PayPal
Questions, Comments, or Suggestions
Reminders
There is no refund for the payment you made if you decided not to attend the event.
Registration will end on December 20, 2019. After that date, this form will be offline.
The high school reunion committee promotes safety environment for every
participant.
In the reunion event, we forbid provocation, discrimination, hatred, and bullying.
We hired a videographer and photographer for this event. They will be the one responsible for taking videos and pictures of the event.
Print Form
Submit
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