2021 Harding - West '60s Reunion Mail-In Registration Form

Harding - West '60s classmates and their guests only

Note: Only Harding/West '60s classmates* may register. Any person wishing to attend the reunion as a

guest must be sponsored, registered and accompanied by a '60s classmate*.

(* Attendees from either school who attended in the 1950's may also register as classmates.)

Please print clearly!! Please print clearly!! Please print clearly!!

I have enclosed my check number: ____________________ for the amount of $ _____________________

'60s Reunion Harding West

3116 Weddington Rd. Suite 900-160

Checks are to be made and mailed to:

(Postmark by no later than 09/01/21) Matthews, NC 28105

(Please enter your name as it should be printed on your name tag)

Classmate: _______________/_________________________/_____________________First name (or nickname) Maiden name Last name

(if applicable, classmates only)

Street / Mailing Address: _________________________________________________

City: ______________________________ State: ____________ ZIP Code: ________

Telephone 1: _______________________ Telephone 2: _______________________

Email address: __________________________________________________________

Harding West

Yes No

Yes No

Yes No

With which school are you affiliated?

What is your class year?

Are you a U.S. military veteran?

Is this your 1st time attending a Harding/West '60s Reunion?

Would you be interested in being a volunteer?

(Please enter your name as it should be printed on your name tag.)

Classmate / Guest: ______________/______________________/__________________First name (or nickname) Maiden name Last name

(if applicable, classmates only)

Street / Mailing Address: _________________________________________________

City: ______________________________ State: ____________ ZIP Code: ________

Telephone 1: _______________________ Telephone 2: _______________________

Email address: __________________________________________________________

Harding West

Yes No

Yes No

Yes No

With which school are you or your sponsor affiliated?

What is your or your sponsor's class year?

Are you a U.S. Military veteran?

Is this your 1st time attending a Harding/West '60s Reunion?

Would you be interested in being a volunteer?

Cla

ssm

ates

On

ly

Cla

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On

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(Please enter your name as it should be printed on your name tag.)

Classmate: _______________/_________________________/_____________________First name (or nickname) Maiden name Last name

(if applicable, classmates only)

Street / Mailing Address: _________________________________________________

City: ______________________________ State: ____________ ZIP Code: ________

Telephone 1: _______________________ Telephone 2: _______________________

Email address: __________________________________________________________

Harding West

Yes No

Yes No

Yes No

With which school are you or your sponsor affiliated?

What is your or your sponsor's class year?

Are you a U.S. Military veteran?

Is this your 1st time attending a Harding/West 60's Reunion?

Would you be interested in being a volunteer?

(Please enter your name as it should be printed on your name tag.)

Classmate / Guest: ______________/______________________/__________________First name (or nickname) Maiden name Last name

(if applicable, classmates only)

Street / Mailing Address: _________________________________________________

City: ______________________________ State: ____________ ZIP Code: ________

Telephone 1: _______________________ Telephone 2: _______________________

Email address: __________________________________________________________

Harding West

Yes No

Yes No

Yes No

With which school are you or your sponsor affiliated?

What is your or your sponsor's class year?

Are you a U.S. Military veteran?

Is this your 1st time attending a Harding/West '60s Reunion?

Would you be interested in being a volunteer?

(Please enter your name as it should be printed on your name tag.)

Classmate / Guest: ______________/______________________/__________________First name (or nickname) Maiden name Last name

(if applicable, classmates only)

Street / Mailing Address: _________________________________________________

City: ______________________________ State: ____________ ZIP Code: ________

Telephone 1: _______________________ Telephone 2: _______________________

Email address: __________________________________________________________

Harding West

Yes No

Yes No

Yes No

With which school are you or your sponsor affiliated?

What is your or your sponsor's class year?

Are you a U.S. Military veteran?

Is this your 1st time attending a Harding/West '60s Reunion?

Would you be interested in being a volunteer?

Cla

ssm

ates

On

ly

Cla

ssm

ates

On

ly

Cla

ssm

ates

On

ly