Hebert High Shool Banner 
Registration Form
HEBERT HIGH SCHOOL ALUMNUS DATA
      Class       
Name
Prefix
First Name
Middle Name
Last Name
Suffix (Jr., Sr. etc.)
Maiden Name
Address   

City
State
Zip Code
Phone No. Email Address 
GUEST DATA
  Class (If Guest is HHS Alumnus)     
Name
Prefix
First Name
Middle Name
Last Name
Suffix (Jr., Sr. etc.)
Maiden Name
Address   

City
State
Zip Code
Phone No. Email Address 
Payment will be made thru Paypal.  Please provide the name on account that you will us to pay fees.  This name will only be used to associated this data with the fees paid.  Account information is confidential with Paypal and cannot nor will not be accessible to the Alumni Association.  
Name on Credit Card or Account used for Payment
If all data is correct hit the submit button to the right to transmit the information above.  After you submit the information you must make payment below using Paypal.     

Fees paid below using Paypal  (A transaction fee of 2.9% will be added)

Alumnus Fee          $125.00
Guest Fee              $125.00
Alumnus Late Fee    $25.00 (applies after June 1, 2010)
Guest Late Fee        $25.00 (applies after June 1, 2010)
Scholarship Donation $5.00 per unit (Donations made to the Scholarship fund by purchasing any number of units at  $5.00 each.)
Send mail to RodneyH2@aol.com with questions or comments about this web site.
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