Harris-Burrus Family Reunion 2016
Rochester, New York
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Harris-Burrus Family Reunion 2016

Request for Pre-Registration Packet Form

Deadline for Return of Pre-Registration Form and Deposit:  Saturday, November 7, 2015
      First Name *                                                                           Last Name *      
Required Field *
    Street Address *                                                                        
Hello Family and Friends:

Pre-Registration Packets have been mailed out.  If you plan to attend the 2016 H-B Family Reunion but did not receive a packet, please fill out the form below and submit it.

We will add you to our Mailing List and send you an H-B Family Reunion Packet.
City *
State *
Zip Code *
Others In My Household Who Might Attend the 2016 Reunion
     First Name                             | Last Name                                                Age
To Request or Provide Further Information, Please Use the Contact Form Below.
    E-mail Address                                                                               Telephone Number