PLEASE PRINT AND COMPLETE FORM
This form was also sent by mail in April and July.
* * * DEADLINE FOR REGISTRATION: AUGUST 1, 2001 * * *
Cost is $50.00 per person. Please make checks payable to
"Class of 71" and send this registration to: Debbie Young Kennedy
25 High St., Suite 120
Waldorf, MD 20602
Name________________________________________________________
Address_____________________________________________________
City________________________ State______ Zip Code___________
Phone______________________ E-Mail__________________________
May we publish any or all of the information above
on this web site? Yes No |
