Tecumseh High School, Class of 1981

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Class Member's Name:

Spouse's Name:

Class Member's New Married Last Name (if applicable):

Street Address:

City: State: Zip Code:

Home Phone: Work Phone:

EMail Address:

Class Members...
Parents' Name:

Parent's Address:

Parents' Phone:

Please answer some additional questions to help us complete our database:

Please choose ONE of the following:

I will be attending both events: Yes    No
I will be attending just the afternoon event (noon - 5pm): Yes    No
I will be attending just the evening event (after 6:00pm): Yes    No
I will be bringing my spouse/significant other: Yes    No
I will be bringing my children to the afternoon event: Yes    No   How Many?

	Quantity	Cost
Number of adults attending (cost is $40 per person and includes both events. Sorry, no price break available for attending just one event)		$
Number of children attending (cost is $6 per child and includes only the afternoon event)		$
	Total Cost:	$

Checks and money orders are to be made payable to the THS Class of 1981 Reunion and must be paid no later than July 10, 2006 to ensure your reservation. Please mail your check to:
P.O. Box 542; Vandalia, OH 45377

You may also pay using Visa, MasterCard or direct debit from your checking account using PayPal (a free service). After clicking the "Submit" button below, you will be taken to a confirmation page where you may choose the PayPal option.