Name: _______________________________________________________

Spouse's Name: ________________________________________________

Mailing Address: _______________________________________________

_______________________________________________

Home Phone: __________________________________________________

Graduation Class: ________ of HHS __________ or St. Michael's
________ of HHS __________ or St. Michael's

______ person @ $5.00, if postmarked by September 1, 2010 = $________

______ person @ $10.00, if postmarked after September 1, 2010 = $______

TOTAL REMITTED $ _______

Please make registration checks payable to the Henryetta All School Reunion.
These pay the expenses and are not tax deductible.

We are trying to increase the size of our Alex Swyden Scholarship Fund so it will generate scholarships forever,
without further contributions.

This is a tax deductible fund and to make Uncle Sam happy, these checks must be made out to:

The Alex Swyden Scholarship Fund

Please rush your registration back to us so we can make the preparations necessary for a great reunion.

 

Remember two checks: Registration
Alex Swyden Scholarship Fund.

Thanks,
Henryetta All School Reunion
P. O. Box 610
Henryetta, Ok 74437