RETURN BY MAY 1st or later

You may print this form and return it with payment to: Class of '71, PO Box 39, Dell Rapids, SD 57022-0039 or you may fill out this on-line form and submit it and pay your registration fee when you come.

If you choose to email this form, PLEASE remember we will be preparing for your arrival and participation in the buffet.  We ask that you notify us as soon as possible in the event you are not able to make it.

adults will attend at $12 each (noon meal, info/address books included)

address books and panoramic group photos wanted at $5 each

adults will stay for evening meal at $5 each

I want to help with the rock.  

I will contribute $ to the restoration of the rock.

I will assist with the restoration of the rock.

INFORMATION

Correct Address:

Name 

Street 

City, State, Zip 

Phone Number    Email Address

Married?  Single?   Other?

Spouse name 

Children's names & ages

Grandchildren's names & ages 

What have you been doing the past 5 years?  Work?  Hobbies?  Plans?  etc.

Thanks for taking the time to fill out this form and sending it to us so we can share your information with others.

When you are satisfied with your form input and wish to send this off to our email box, just press on the "Submit" button.  If you wish to start over and clear the form, press the "Reset" button.