SSU–Class of 1976 45th Reunion Registration Form--Due on or before September 15.
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Email *
Complete Name (Include maiden name) *
Telephone/ Cell # *
Home Address *
Please check all included in the submission. *
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T- Shirt Sizes-Male/Female (S, M, L, XL, 2XL, 3XL $35 Each *
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Select size: SSU Class of 1976 Windbreaker Jacket (class gift) Included in full registration fees; not for guests. XS S M L XL XXL 3XL 4XL Size 12/14 16/18 20/22 Bust/Chest 39-41 42-44 45-47
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I plan to send payment by Sept. 15th via *
My total payment due is in the amount of *
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