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Fishers of Men Household Reunion Registration:
YOUR CONTACT INFORMATION:
Required
First Name
*
Required
Last Name
*
Required
Street Address
*
Required
City
*
Required
State
<Select>
Alberta
Alaska
Alabama
Arkansas
American Samoa
Arizona
British Columbia
California
Colorado
Connecticut
Canal Zone
District of Columbia
Delaware
Florida
Federated States of Micronesia
Georgia
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Iowa
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Kansas
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Louisiana
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Manitoba
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Marshall Islands
Michigan
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Northern Mariana Islands
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Nebraska
Newfoundland and Labrador
New Hampshire
New Jersey
New Mexico
Nova Scotia
Northwest Territories
Nunavut
Nevada
New York
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Palau
Quebec
Rhode Island
South Carolina
South Dakota
Saskatchewan
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Yukon
*
Required
Please enter a 5-digit ZIP code or a 9-digit ZIP code with a hyphen after the first 5 digits.
Zip Code
*
Required
Please enter a 10-digit phone number. You can use hyphens or periods to separate numerals, and you can put the area code in parenthesis.
Home Phone:
*
Required
Please enter a 10-digit phone number. You can use hyphens or periods to separate numerals, and you can put the area code in parenthesis.
Cell Phone:
*
Required
Please enter a valid email address with the format youraddress@yourdomain.
Email:
*
ATTENDANCE & REUNION FEE:
Required
Attending?:
<Select>
Yes - $10
No
*
Required
Your grad year:
<Select>
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
*
Required
Spouse/Guest Attending?:
<Select>
Yes - $10
No
*
Required
Spouse/Guest Name & Grad Year (if applicable):
*
Required
Child(ren) attending?:
<Select>
Yes
No
N/A
*
Required
Child/Children's names & ages if attending:
*
HOUSEHOLD GEAR:
Required
HH T-shirt:
<Select>
S - $12
M - $12
L - $12
XL - $12
XXL - $12
*
Required
HH Hoodie:
<Select>
S - $19
M - $19
L - $19
XL - $19
XXL - $19
*
TOTAL AMOUNT DUE:
Required
Enter amount due here: REUNION FEES per adult + REUNION GEAR purchase = Total Amount:
*
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