E-mail Registration Form

I would like to register to attend the Class of '77 25th Reunion. Here are my details
If you register to attend the '77 25th Reunion, I will also register you to the site so you
do not have to complete a second registration form.

Personal Information
Name at Graduation Yr. Graduated
Married Name
Address
Street
City State Zip Code
E-Mail Address
Home Phone
Number planning to attend
Post your E-Mail Address on the planning to attend list? (Yes /No)
COMMENTS:
Once you have clicked on the Submit button once, you should be taken back to the 77 Reunion page.
If you have problems submitting the form, please send your information by regular e-mail.