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Will Rogers
Class of 1971
35th Reunion
September 8 & 9, 2006


Please help us estimate the cost:

Yes I would like to attend.  There will be ____in my party.

No I cannot attend.  However, I would like to be included in the directory and receive one by mail.
                             
I will pay shipping and handling charges.
Please update your information for the directory.  Include only the information you want in the directory.

Name:__________________________________________________________________________

Maiden Name:____________________________________________________________________

Spouse/Partner:__________________________________________________________________

Home Address:___________________________________________________________________

Home City, State, & ZIP:___________________________________________________________

Home Telephone #:_______________________________________________________________

Cell Telephone #:_________________________________________________________________

Personal Email Address:____________________________________________________________

Place of Employment:______________________________________________________________

Work Address:____________________________________________________________________

Work City, State, & ZIP:____________________________________________________________

Work Telephone #:________________________________________________________________

Work Email Address:_______________________________________________________________

Alternate Contact (in case the above info changes before the next reunion):_______________________
__________________________________________________________________________
___________________________________________________________________________

Do you know another Roper that we can contact regarding the reunion?
Use backside of form if more than one.


      Name:___________________________________________________________________________

Address:_________________________________________________________________________

City, State, & ZIP:_________________________________________________________________

Telephone #:_____________________________________________________________________

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