Reunion Payment Form

Tift County High School and Tiftarea Academy

Classes of 1985 - 1989

Cluster Reunion

April 27 – 28, 2012

PLEASE RETURN THIS PAGE WITH CHECK

For Nametags (PLEASE PRINT OR TYPE ALL INFORMATION)

* Your Name ______ _______________ _______________ _______________

Title First (Women - Maiden) Last

TCHS or Tiftarea Academy? ________________________________________________________

Class Year _______________________________

* How do you want your nametag to read?

_____________________________________________

Name of Guest _____________________________________

* Your current mailing Address

______________________________________

* Your current e-mail address

__________________________________

* Phone Number where you can easily be reached

__________________________________

Make Checks payable to Cluster Reunion		Mail to: TCHS and TA Cluster Reunion PO Box 2001 Tifton, GA 31793
Event	# Attending	x Cost per person	= Sub Total
Saturday Night Paid in person to Chad Alexander, Lawton Basset or Laura Hester after April 21 or at door		X 40.00
		* EVENT TOTAL