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REUNION INFORMATION FORM

First Name:  Last Name:   Maiden Name:

E-mail:   Phone: (Enter as xxx-xxx-xxxx.)

Street Address:   City:   State:   Zip:

Spouse's First Name:  Spouse's Last Name:

Children's Names: (Use commas for multiple children.)

The information above will be used to send you correspondence about upcoming reunions.
To make donations for future reunions online, select one of the buttons below.

DONATION INFORMATION:

   I'd like to donate $70.

    

   I'd like to donate $55.

    

   OR, mail checks made payable to:
   REL Class of 1996
   1017 Shepherd Lane
   Tyler, TX 75701