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Thank you for using this form.

Payment is due no later than August 8th, 2007.

Please write Check or Money Order for $60/guest to

"Pattonville '67 Reunion"

and mail to:

C/O Kay White Wortman

240 Big Sky Drive

St. Charles, Missouri 63304

or you may use PayPal by clicking this link: PAYPAL PIRATE .

Please include $3 for the PayPal Processing fee.

Revised: October 18, 2008