MIAMI HIGH JUBILEE CONTACT INFORMATION FORM

9th Annual Miami High Stingaree Jubilee in the Heartland
January 25-26, 2019
If you are using this form on a cell phone, we recommend that you turn the phone horizontlly.
You MUST click on the CONTINUE button at the bottom to continue registration
Attendee Information
Graduation Year
First Name
Please select one of the items below. If you plan to attend please select the events you will attend.
Middle / Maiden Name
Friday Events
Last Name
Street Address
Address (cont.)
City
State
Saturday Events
Zip/Postal Code
Home Phone
eg. 305-111-2222 for US phone numbers
Cell/Work Phone
E-mail
specify Fax if appropriate (e.g. fax 305-444-9999 for US phone numbers)
Alternate phone or email
Spouse or Guest Information (optional)
First Name
Middle / Maiden
Last Name
Payment Deadline for this event -
January 14, 2019
* Please Note:
MHS Stingaree Jubilee Cost is $25 per person

Make Checks Payable to MHS Jubilee Sebring FL
and mail to:
Bill Eades
9301 SW 41 Terr.
Miami, FL 33165
School Attended
reset
You MUST click on the CONTINUE button
below to complete registration
Graduation Year
Please note this information will REPLACE any currently in our records; so blank fields may overlay current content.