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Name, address, ph#, email:
First Name Last Name Street Address Address (cont.) City State/Province Zip/Postal Code Country Cell Phone Home Phone E-mail
First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Cell Phone
Home Phone
E-mail
Maiden name, if applicable:
Maiden Name
What year did you graduate or would you have graduated?
Were you:
a Student Staff Other
Next person attending:
Name
I did not attend OHS and I'm here accompanying an Aggie:
True False
If you were an Aggie too, were you:
If you were a student, what year did you graduate or would you have graduated?
If you were a parent of student/students that attended, please tell us approx what year(s) did your child(ren) attend?
If you were a staff person and worked at OHS/Benoit/Mason, please tell us what years you were there:
If you were a staff person, please tell us your job/position:
I/We plan to attend:
Friday night only Saturday night only with dinner included Both nights
If attending Friday, the menu I (we) choose is:
Fish Boil Brat Feed
I/We have a handicap and therefore require special parking.
Yes
We will be staying in Ashland and would like to take a shuttle to Benoit from Ashland.
Would you like to order a shirt, a cookbook, or the history book today?
1. Click Submit Form to send us your completed Registration form.
2. You will be taken to our PayPal page.
3. To return to Huff's Store for your souvenirs, click Continue Shopping.
I would like to order a T-shirt: Sm qty Medqty Lgqty XLqty 1XLqty 2XLqty I would like to order a sweatshirt: Sm qty Medqty Lgqty XLqty 1XLqty 2XLqty
I would like to order a T-shirt:
Sm qty Medqty Lgqty XLqty 1XLqty 2XLqty
I would like to order a sweatshirt:
QTY DESCRIPTION BILLING Purchase Order # Account Name
Product Name Sm Med Lg XL 1XL 2XL Serial Number
I would like to order a DVD (how many):
