Registration

First Name*			Last Name*
Guest Name			Maiden Name
Address 1			Address 2
City*
State*	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
ZIP*
Email
Home Phone
Cell Phone
Attending: Friday Night Mixer		# Attending
Attending: Saturday Celebration		# Attending

COST:

$40.00 Per Person Before July 24th *         $50.00 Per Person After July 24th
$75.00 Per Couple Before July 24th *         $85.00 Per Couple After July 24th

* Early payment must be mailed by July 24th to get the discount price.

Advance payment would be greatly appreciated.
"SUBMIT" form when completed, then please mail payment to:

Class of 89
c/o Kristin Marchiol
1016 Pine St.
Marquette, MI 49855

Make check payable to: MSHS Class of 1989

After completing the registration form, don't forget to complete your profile.