Directory Form

KIMBALL '73 REUNION REGISTRATION & DIRECTORY FORM

Register by filling in the form below. Be sure to click the Submit button.
Then go to our Store to purchase your tickets.

Information provided here will appear in the Keepsake (eBook) Directory, included with paid reservations.
For those not attending, directories are available for purchase in our Store.

** Note - deadline for paying by check is August 3rd. After that we will only be able to accept paid reservations online - $75 per person**

* Indicates required field.

* Indicates required field

First Name *

Last Name (Ladies - Please list Maiden Name & Last Name) *

Mailing Address *

City, State Zip *

Email Address *

Contact Phone *

This phone number is... *

Full Name of Spouse or Guest *

Number of people attending *

I will pay by: *

I am willing to help with... *

Locating classmates Decorating Other, contact me Nothing at this time

I do not want the following information listed in the directory: *

Address Phone Spouse or Guest Information for contact purposes only, do not include me in the directory You may add all my information in the directory

Any other information you wish to include in the Keepsake (eBook) Directory: *

Submit