Online Class Reunion Registration
Event
St Peter-Marian Class Reunion: Class of 1997 - Saturday 8/4/2007
Registration:  
  Class Member $70.00  
Registration:  
  Non-Class Member $60.00  
Photo:  
  Class Reunion Photo $10.00  
Sub-Total:  
 
Scholarship Donation:  
Grand Total:  
 
Do you require a special diet?
Yes  No 
Other Special Needs:  
My photo is in the year book:
Yes  No 
If so, please provide page number:  
Personal Information
E-Mail:*   Valid e-mail is required
First Name:*  
Last Name:*  
Address Line 1:*  
Address Line 2:  
City:*  
State:*  
Zip Code:*  
Marital Status:  
Gender:  
Date of Birth:  
Phone:*  
Name Tag(s)
Name Tag1:*   first, middle, last
Name Tag2:   first, middle, last
Name Tag3:   first, middle, last
Credit/Debit Card Information
Card Number:*   No dashes or spaces please
Expiration Month:*   From your card
Expiration Year:*   From your card
Card Brand:*  

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