Registration for Reunion 2010 - '65, '70, '75, '80, '90, '95, '00, '05
Mail completed form to: Or fax to: 718 256-9805
Sister Virginia Lake
Bishop Kearney High School April 24th, 3 pm in the gym!
2202 60 Street
Brooklyn NY 11204
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Circle year of graduation: 1965, 1970, 1975, 1980, 1990, 1995, 2000, 2005
NAME ______________________________________________________________
(first) (maiden) (last)
ADDRESS ______________________________________________________________
_______________________________________________________________________
(city) (state) (zip)
PHONE (_____)_______________________
EMAIL __________________________________________________
Method of payment
__________$50 check enclosed
Credit card: check one: _____Amex _____Visa _____MasterCard _____ Discover
Name on credit card____________________________________________________
Card number ______________________________ Expiration date ________________
