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Reunion Registration Page


Use this form to register for the 1991-92 Congressional Page 10 Year Reunion. Please provide as much info as you can.

Please provide the following contact information:

Personal Info:

First Name
Last Name
Middle Initial
Birth Date  
College/University
Undergraduate Degree
Major
College/University
Graduate Degree
  

Home:

Home Phone  
Home Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
E-mail
 

Work:

Title
Organization
Work Phone
Work Address
Address (cont.)
City
State/Province
Zip/Postal Code
E-mail
 

Reunion Attendance:

Will you be attending the reunion? Yes No
Will you need hotel arrangements? Yes No
Will you be bringing anybody? Yes No

Chris Miley.
Copyright © 2002 [Not So Productions]. All rights reserved.
Revised: March 02, 2002