Registration Form
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Please use the "File", then "Print" on your computer to print this page and use the form below to register

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LCHS Class of 1978

Registration Form

Please complete this form and mail with payment of $35/person (check or money order) to:

LCHS Class of 1978, P.O. Box 1502, London, KY 40743

Cost at the door: $50/person. Save money & register today !

Classmate Name: ___________________________________________________________

                                      (please include maiden name if applicable)

Guest Name(s) _____________________________________________________________

Payment Enclosed $ _________________________________________________________

Home Address ______________________________________________________________

City/State/Zip _______________________________________________________________

Preferred Phone: ____________________________________________________________

Preferred Email: _____________________________________________________________

To assist with our planning, please let us know:

Do you plan to attend Friday night's activity? ________

Do you plan to participate in Saturday morning tour ? ________

Do you need information on local hotels that have agreed to preferred rates? _________

Other suggestions or comments ? ______________________________________________________________________