Registration information

Please complete the form below and SUBMIT. After submitting your registration, send registration fee of $70.00 per person to the email address below via PayPal.

jeffja76@yahoo.com

Or, you can print this form and send with check or money order to:

WILLIE T. SMITH
17 RICEMILL FERRY
COLUMBIA SC 29229

MAKE CHECKS PAYABLE TO WILLIE T SMITH

Name

First Name

Last Name

Guest's Name

First Name

Last Name

Email

Maiden Name

Graduating Class

Entree Preference - Primary

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Guest's Entree Preference

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Registration information

Southside High School Class of 1974 50th Class Reunion

Location

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