MIAMI HIGH JUBILEE CONTACT INFORMATION FORM

9th Annual Miami High Stingaree Jubilee in the Heartland
January 25-26, 2019
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
Graduation Year
Please note this information will REPLACE any currently in our records; so blank fields may overlay current content.
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