Please submit this registration form via email OR print and mail to:
McKinley Class of 1978 P.O. Box 29667 Honolulu, Hawaii 96820-2067 Note: All alumni must register individually.

Name ________________________________ Maiden/AKA ___________________________

Address ____________________________________________________________________

City _______________________ State __________ Zip Code ______________

Phone- Home/Work/Cell: ________________________________________________

Email: _____________________________________(Payment invoice will be sent to your email via PayPal)

Emergency Contact: Name, relation, and phone number(s), including area code:

_____________________________________________________________________

CHECK ONE:

I would like to sign up for the Birthday Bash and Brunch (total $100)______

I would like to sign up for only the Birthday Bash ($70)______

I would like to sign up only for the Brunch ($30)______

PAYMENTS: After submitting registration form, an invoice from PayPal will be sent to your email. You may pay through PayPal when you receive the invoice; due upon receipt

Amount submitted via Pay Pal - $___________ Date: _________

or mail in your registration with a check made payable to:
McKinley Class of 1978

Check $____________ Date: __________

Mail to : McKinley Class of 1978 P.O. Box 29667 Honolulu, Hawaii 96820-2067

For more information and the latest updates visit our website at www.McKinley1978.com
If you have any questions email: McKinley1978Hawaii @yahoo.com or call: (808) 595-2785