ROLLA HIGH SCHOOL ~ CLASS OF 1982 ~ 20TH REUNION
August 2-4, 2002

SIGN UP FORM
(please print clearly or type)


(NAME) First:				Maiden:				Last:				

(GUEST) First:			Last:					

(How you fill out “name areas” will be on name badge)

Address:													

City:						State:				Zip:				

Telephone Number with Area Code:									

E-Mail Address:												


Using the agenda write the number of people that will attend each Event below.

Event 1:		Event 2:		Event 3:		Event 4:		Event 5:	


The cost for the weekend will be:		$55 Couple
	       OR
$30 Individual


MAIL THIS FORM AND CHECK TO:

Martha Willy
733-I Ridgeside Drive
Ballwin, MO  63021

Make check payable to:  Martha Willy
In the For or Memo area of check (lower left corner) write:  20th Class Reunion


DUE DATE:  May 31, 2002