Registration

Please fill in the form below to register for Friday and Saturday activities. Payment instructions are at the bottom of the form. They are also included on the confirmation page and in your email notification. ****Note: Cash App is $lbbennett1961 ****

If you prefer, you may download this printable form instead: Registration Form

First Name *
Last Name *
Maiden Name
Spouse/Partner/Guest Name
Address *
City *
State *
Zip Code *
Phone *
Email *
Children
Grandchildren
Great Grandchildren
Business/Company
Position/Job Title
Classmates Book *
Would you like to have your information included in an electronic Classmates Book which will be available for download on the class website (www.tigers79.com)?YesNo
Attending For each of the following events, please let us know how many will be attending:
Booster Golf Tournament, Friday July 12, 2024 Additional fees will be collected - Contact Allen Toole
The Winery Tour, Friday July 12, 2024 Additional fees will be collected - Contact Susan Richards Barnes
The Library, Friday, July 12, 2024
The Cellar, Saturday, July 13, 2024
Instructions - Payment Information for Saturday, July 13, 2024 $50 per person - Early Bird Discount thru May 31st; $60 per person (06/01/24 - 07/12/24); $65 per person (at the door); Paypal: paypal.me/chstigers79; Cash App: cash.me/$lbbennett61 (may not work in IE or Edge browsers); Venmo: Laura Bennett OR @lbbennett61 (for verification last 4 of my phone are 2330); Zelle: lbbennett@yahoo.com OR 5734502330; Make checks payable to: CHS Class of 1979; Print form and mail to: Laura Dillman Bennett, 258 Ashley Drive, Cape Girardeau, MO 63701

Verification (Just to prove you're not a robot.)

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