MHS Forty Year Club Registration Form - 2011
***The Forty Year Club gives two (2) "Good Citizen" awards and two (2) scholarships annually to MHS graduates. Learn more about the awards and scholarships by clicking here: Scholarships. We need your continued support of these programs. To contribute to these two worthwhile endeavors, please include a separate check with your registration fee.
If you know of name, address and class changes or classmates who have died since the last reunion, please send that information to Pat Phillips, 272 Sugartree Lane, Mena, AR 71953 or e-mail adp@arkansas.net
Deadline for Reservations: May 1, 2011
PRINT OUT THIS FORM, DETACH AND MAIL ALONG WITH YOUR CHECK(S) MADE OUT TO
MHS 40 YEAR CLUB TO:
Pat Phillips, 272 Sugartree Lane, Mena, AR 71953
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| NAME________________________________________ | YEAR OF GRADUATION_______ |
ADDRESS_____________________________________ CITY/STATE/ZIP_______________________________ EMAIL ADDRESS_______________________________ | |
| Price $10 (Membership fee and reception) $5.00 (spouse/guest) per person Name of spouse/guest_______________________________ | |
| ATTENDING? □Yes □No No. of Persons ____ | TOTAL $_____________ |
VOLUNTARY SCHOLARSHIP DONATION (SEPARATE CHECK) | ***$____________ |
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Last Revised On
01/07/2011