Alumni Luncheon Reservation Form

Fields marked * are required

First Name *

Last Name *

Maiden Name

Class of *

Number of Reservations *

Alumni Luncheon, October 23, 2021

Reserve my ticket as a member of the Class of 1971 @ $10.00 a ticket. (Payable by mail or pay pal link below.)

Reserve my guest ticket(s) as a guest @ $20 a ticket.(Payable by mail or pay pal link below.)

Email *

Address *

Address 2

City *

State / Province / Region *

ZIP *

Country *

Update us! What have you been up to since leaving Highland Community College?

Occupation *

Employer *

Guest Name

For a discounted price, you can purchase your choice of a personalized brick to be placed within the Stadium Center Courtyard.

YES, I would like to purchase a $50 4x8 brick.

YES, I would like to purchase a $75 8x8 brick.

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Homecoming Fall 2021 Registration