Jefferson Moore High School

Class Reunion

“1975 A Year to Remember”

October 2, 3 and 4, 2015

 

Official Registration Form

Please print the information requested and mail this completed form with your payment.

CLASS YEAR: ____________

Last Name________________ First________________Maiden________________

Current Address_____________________________________________________

City____________________________State________Zip Code________________

Home Phone#______________________ Cell#_____________________________

Guest Name_______________________________

 

Payment Method:  Money Order or Cashier’s Check (NO PERSONAL CHECKS)

                                     Reunion Fee is $75 per person + T-Shirt Order (optional)

 

Please mail payment to:

Jefferson Moore High-1975

                                                            Attn: Bob Smith

                                                            3902 Blacksmith Drive               

                                                            Garland, TX 75044

 

  Total remitted $___________       Deadline – June 15, 2015

 

“1975 A Year to Remember” – T-Shirts

 

Yes_____     No______   Type of Shirt: Short Sleeve/Long Sleeve (please circle)

Number of Shirts_________     Size(s) ____________

Short Sleeve                                                           Long Sleeve

Sizes              Prices                                                Sizes              Price

S-XL                $8                                                       S-XL                $13

2X                   $9                                                       2X                   $14    

3X                   $10                                                     3X                   $15                            

4X                   $12                                        

5X                   $13