Class of 1965 Murphy High School

April 21, 2018 Reservation Form

Please write your name the way you wish for people to address you (name tag)

Female Classmate:

Maiden Name and Married Name (if applicable):____________________________________________

Male Classmate Name: _________________________________________________________________

Attending with me:_____________________________________________________________________

Classmate email _______________________________________________________________________

EVENT

Saturday April 21, 2018

Cost Per Person (Entrance Only) $10

TOTAL ENCLOSED_______________

Please complete the form and enclose it along with your check payable to

______________________________________________________________________________________________________________

Please complete the form and enclose it with your check payable to

   "Murphy High School Class of 1965 Reunion"
  Forward to:
Jean Dixon Fausak
    8536 Crepe Myrtle Court 
    Mobile, AL 36619