2009 REUNION REGISTRATION FORM

LAST NAME:_______________ FIRST NAME:_______________ MAIDEN:_______________

       YEAR OF GRADUATION:   MARK SMITH: _____________  LASSETER: _____________

       NAME OF GUEST or SPOUSE: ___________________________________  

               If Mark Smith or Lasseter Graduate indicate the year: _________

PLEASE INDICATE THE ACTIVITIES YOU WISH TO ATTEND:

        FRIDAY GOLF @ HEALY POINT COUNTRY CLUB:
              293 River North Blvd 31211 * 8:30 AM Tee time
              Number of people playing _______  X $45.00 per golfer                              $__________ 

        FRIDAY NIGHT:
              AL SIHAH SHRINE TEMPLE featuring "The Swingin' Medallions"
              Number of people attending _______  X $40.00 per person                          $__________

       SATURDAY NIGHT:
                  BALLROOM @ MACON CENTREPLEX featuring "The Geers"
              Number of people attending  _______  X $40.00 per person                         $__________

     
                                                                     TOTAL AMOUNT ENCLOSED:      $__________

Please make checks payable to: Mark Smith/Lasseter 2009 Reunion

Mail registration and information forms to:

Mark Smith/Lasseter 2009 Reunion

P O Box 6312

Macon, GA 31208

REGISTRATION DEADLINE IS FRIDAY, JULY 17, 2009

Please help your 2009 Reunion Committe by sending in your registration fees

sooner rather than later. We have many expenses, fees & deposits that must
be paid in advance. We appreciate your consideration!

 Click for Information Form to be sent with Registration Form

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SITE UPDATED MAY 27, 2009
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