Registration Form
If you did not receive a registration form, please print out the form
below and mail form and check to Jenny Hayes Lewis by July 15th September 10th
PDF of Registration Form is available for download here.
Broughton High School 40th Class Reunion
September 24-26, 2010
| Reservation for: |
Guest(s): |
| |
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| Name: |
| Current Address: |
| City: |
State: |
Zip: |
| Email: |
Telephone: |
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| Name you want on your name tag: |
| Name for spouse/guest name tag: |
In order to create a treasury that will assist in the overall cost of your reunion and support classmates who may need financial assistance, we have developed a tool for donations. These classmates and businesses will be recognized during the weekend.
| Individual Donations |
|
Corporate Donations |
| Capital |
$200.00 |
|
Capital |
$500.00 |
| Gold |
$100.00 |
|
Gold |
$250.00 |
| Purple |
$50.00 |
|
Purple |
$100.00 |
| Number of Persons: ______ |
@ $100 each |
$____________ |
| |
Individual donation |
$____________ |
| |
Corporate Donation |
$____________ |
| |
Total Enclosed |
$____________ |
Make checks payable to: "NBHS Class of 1970". Please print and mail this form and your check to:
NBHS Class of 1970
c/o Jenny Hayes Lewis
3581 Hillcrest Dr
Farmville, NC 27828
Please return this form and your check by July 15th September 10th
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