Clarke Memorial College Reunion 2015 Bonded by Love to Serve

Clarke Memorial College Reunion 2015
Bonded by Love to Serve
July 24-25, 2015
Class of 1970 Hosting
Registration Form:
Year(s) Attended: ________________________________________________________________________
____________________________________________________________________________________________
First
Middle/Maiden
Last Name
____________________________________________________________________________________________
Spouse Name
____________________________________________________________________________________________
Mailing Address
_____________________________________________________________________________________________
City/State/Zip
_____________________________________________________________________________________________
Home/Cell Phone/E-Mail
______________________________________
_______________________________________
Number Attending ($25 per person)
Amount Enclosed
We are requesting for you to mail the registration form with your check to:
Linda Nail
Please make the checks payable to:
115 Sis Circle
CMC Classes of '70 & '71
Hattiesburg, MS 39402