REGISTRATION for LRCHS-HALL 80th BIRTHDAY PARTY

 

Name: First _____________________________________________

 

           Last______________________________________________

 

           Maiden___________________________________________

 

Guest/Spouse (if attending)_________________________________

 

Address________________________________________________

 

             ________________________________________________

 

Cell Phone______________________________________________

 

Home Phone____________________________________________

 

Email__________________________________________________

 

REGISTRATION FEE $10 per person

 

Mail Registration Form and Check made to "Class of '58" to:
 
Janell Barkley

#9 Johnnycake Lane

Little Rock, AR 72211-1602

 

 

 

 

 

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