Registration Form











Classmate’s Name:  ________________________________________

Spouse or Guest:  __________________________________________
                             (If also SE graduate, designate what Class)

Number attending  ______ @ $40 per person*       Total amount enclosed  $_________
                  (* $40 if paid by June 10th.....$60 at the door)                              
                 Make check payable to:   Southeast Class of 68

INFO ABOUT ME:

Address: _____________________________________________

City: ___________________________  State: __________  Zip: ___________

Home Phone: _________________________

Spouse’s Name:  ______________________________________

How long married:   ________  Graduate of: _______________   Year: ____

Your Email Address: __________________________________________

Employer: _____________________  Position: ________________________

Work Phone: ______________________
     
Send this form with your payment to:     Melvonna Venter Schneider
(Preferably by May 15th…                          10517 Winston Way
but no later than June 10th)                      Oklahoma City, OK  73170
Southeast High School     
Class of 1968               
**Registration Form**
Print this form, fill it out and mail with your check