50TH REGISTRATION FORM

The Time Has Come!
October 15-16, 2021
GHS Classes 1970 and 1971
50th Reunion Celebration Weekend

In conjunction with the 
World Famous Delta Hot Tamale Festival

Registration Form
(We would encourage deadline date of September 1, 2021)
PLEASE PRINT

Name:______________________________________________
                (Include Maiden Name)
Spouse/Guest:________________________________________

Address:____________________________________________

____________________________________________________

Email address:______________________________

Phone number:______________________________

Cost is $100.00 per person:

__________ X $100 = ______________________
# Attending                Total Payment Enclosed

 

 

Make Check Payable to:
Ruchell Phillips
303 O’Hara Drive
Oxford MS 38655
ruphillips@att.net
(662) 822-2355

 

 



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