UDHS Class of 1970 Reunion Registration

 


You must be a member to submit this survey. If you are a member please log in first. You can't submit this form until you've logged in.

* Answer Required
1)   * NAME • Class of 1970 Alumni:

 
2)   NAME IN 1970:

 
3)   * Your Address:

 
4)   * Your Phone/Cell:

 
5)   * Your Email:

 
6)   Name(s) of Guest(s) attending:

 
7)   * Yes, I/we will attend @ $40 each. Amount due:

 
8)   I want to make a donation for the 55th Reunion Expenses. Amount $

 
9)   I want to make a donation to the UDHS Scholarship Fund: Amount $

 
10)   * Total amount to be sent by check or VENMO: $


Total of Reservations plus Donations