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Reunion Services Payment Form
This form will be used for various miscellaneous payments (e.g., additions to previous registrations, auction items, general donations, etc.) to the L.D. Bell High School Class of 1978.
Part 1: Your Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mobile Phone
*
Email
*
Enter Email
Confirm Email
This payment is for:
*
Saturday Night Registration
Auction Item
HEB ISD School Supplies
General Reunion Donation
Amount
*
Processing Fees
Price:
$0.00
Total Amount (including processing fees)
$0.00
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Expiration Date
Security Code
Cardholder Name
Additional Comments/Requests
*
Having Trouble With This Form?
If you run into any issues submitting this form, please reach out to Rick Weaver, Chair, 40th Reunion Committee, and he will help you get your registration submitted.
Mobile/text: 917-698-0722 or
ldbellclassof78@gmail.com
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Your ticket for the: Reunion Services Payment Form
Title
Reunion Services Payment Form
USD