Jefferson County Region/MSTA Retiree Biography Request
Please fill in and submit no later than Friday, March 6th, 2020. Later on, you will receive a confirmation email with information about the JCR Regional Meeting scheduled for April 7th, 2020 at the Carriage House at Fox Run near Eureka. You will be allowed to bring one guest at no charge. Additional guests are $13 each and must be paid to the Jefferson County Region that evening. You must be a member of MSTA and be in attendance at the dinner on April 7th to receive your bell.
Name as you want it engraved on your bell
Home city, state, zip
Preferred phone number
Crystal City 47
Jefferson County R-VII
Preferred email address
Written biography. Maximum 200 words please.
Please use third person (name, him, his, her, hers, etc.) Your biography will appear in your written form in the banquet program. There will be no editing of grammar or spelling.
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