Please print and mail your filled out registration form along with your check. 

TULSA MEMORIAL CHARGERS CLASS OF 1967 

60TH BIRTHDAY PARTY

 
HAPPY BIRTHDAY TO US!

July 18, 2009

 $10.00 per Person

Please make checks payable to: Memorial High School Class of 1967

Mail to: Elaine Elsloo Dodd
                 3215 East 57th Street
         Tulsa, OK 74105

First Name: _______________________________Maiden/Last:__________________________

Spouse/Guest:__________________________________________________________________

Address:_______________________________________________________________________

City:_______________________State:__________________ZipCode:_____________________

Phone Numbers: Home:_______________________________Business:_________________________________

Cell:_________________________________Email:____________________________________
 

Other Contact:__________________________________Phone:___________________________
(In case we lose track of you in the future, can be friend, sibling, child, etc.)

  
(Donations always accepted and appreciated!)

Questions? Call Anne Walton Hewgley - 918.744.5960