Registration Form

Registration Form

MSHS 55th Class Reunion

 

Number attending:    One ____________     Two _____________

Classmate name (please print):_____________________________________________________

Home address: _________________________________________________________________

City:__________________________________________ State:___________ ZIP:____________

Cell phone: ____________________________Home Phone: _____________________________

Email: ____________________________________

Classmate name for badge (maiden name will be on the badge): ______________________________________________________________________________

Guest name for badge: ________________________________________________________

Registration includes Friday and Saturday nights: 

Classmate only:   $75

Classmate and guest:   $130 

Registration deadline is June 15th.  

Questions?  Contact Pat Nevala at 616-446-8944 or email pnevala47@gmail.com

Make your check payable to MSHS Class of 1965 and mail to:

Pat Nevala
1942 Dunlin Ct NE
Grand Rapids, MI 49505