Address ________________________________________________________
________________________________________________________
Spouse ________________________________________________________
Children _____________________________________Age________________
_____________________________________Age________________
_____________________________________Age________________
_____________________________________Age________________
_____________________________________Age________________
Occupation ______________________________________________________
Spouse Ooccupation_______________________________________________
Email Address____________________________________________________
Friday Meet & Greet Saturday Picnic Saturday Banquet
______Plan to attend ______Plan to attend ______Plan to attend
______Will not attend ______Will not attend ______Will not attend
______# of children to attend
I have enclosed my fee. (Make check payable to Class of 1982 FCHS)
_________$45.00 for classmate
_________$70.00 for classmate & spouse/date
Please return this form with payment no later than May 1, 2002. There will be a fee
of $10 for late registration. Payment address is as follows:
Class of 1982 FCHS
PO Box 218
Wynne, AR 72396