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Order Form for the Reunion Memory Book after the Reunion is over.
Instructions:  In order to complete the order form, use the TAB key to work your way through each field. You will have to use your mouse to complete the  Credit Card Payment section.  ( Fields with an * are required )

*School: *Graduation Year:
*First Name:    *Maiden Name(Enter N/A if none):
*Maiden Name and/or Last Name:
*Address: Apt. #:
*City: *State: *Zip Code:
Phone Numbers (please include area codes; example: 951-515-4569):Home:
*E-Mail Address:
 Memory Book
      $35.00
Shipping and handling
      $ 3.00
TOTAL COST
 *$38.00

CREDIT CARD PAYMENT OPTION:  Visa, MasterCard, Discover Cards ONLY Accepted.
*Type of Card:
Visa
MasterCard
Discover Card

*Card Number:  *Expiration Date:   *Security Code:

*Name on card:

*Billing Address and Zip Code: 

(last three digits on back of card)



You will be mailed your memory book within 2 weeks.
If it is no longer available your credit card will not be run and you will be given notice.


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