Registration for 25th reunion
| Mail completed form to: Sister Virginia Lake Or fax to: 718 256-9805 Bishop Kearney High School 2202 60 Street April 24th, noon in the library! Brooklyn NY 11204 ********************************************************************************** Class of 1985 - 25th Reunion Please PRINT all information. NAME _____________________________________________________________ (first) (maiden) (last) ADDRESS __________________________________________________________ _______________________________________________________________ (city) (state) (zip) EMAIL ________________________________________________________ Method of payment __________$65 check enclosed Credit card: check one: _____Amex _____Visa _____MasterCard _____ Discover Name on credit card_________________________________________________Card number __________________________________ Expiration date ___________ |
