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Class of
1990 Reunion
Registration Form
After printing this form,
please fill in the following information
and return it along with payment to the following address;
Class of 1990
c/o Teresa R. Carter
P.O. Box 1723
Halifax, VA 24558
| Name: |
____________________________ |
| Spouse or Guest Name: |
____________________________ |
| Telephone Number: |
____________________________ |
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| Additional
Information (Optional) |
| Occupation: |
____________________________ |
| Marital Status: |
____________________________ |
| Children: |
____________________________ |
| Email Address: |
____________________________ |
| Other: |
____________________________ |
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