Loara Class of '69 Reunion
Classmate's Name
*
First Name
Middle Name
Last Name
Maiden Name if Applicable (PLEASE WE REALLY NEED THIS!)
Class Year
Spouse's Name
First Name
Last Name
Spouse's Class Year
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Tickets are $70.00 PER PERSON
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Loara '69 Reunion Ticket
$
70.00
Quantity
1
2
3
4
5
6
7
8
9
10
Donation to the Reunion
$
10.00
Donation to the Reunion
$
25.00
Donation to the Reunion
$
50.00
Donation to the Reunion
$
100.00
Donation to the Reunion
$
250.00
Donation to the Reunion
$
500.00
Donation to the Reunion
$
1,000.00
Total
$
0.00
Submit
Type a question
Type option 1
Type option 2
Type option 3
Type option 4
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