STEP 1 Confirm your Registration Details things marked with “*” are required.
Your Name	**
If Applicable>>
Years in Athens*	From	To
Address 1*
Address 2
City *
State*	--Select-- Outside US Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia 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 Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming --Other US-- American Samoa Federated States Of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico US Virgin Islands --US Military-- Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific Zip *
Home Phone*	Work Phone
Cell Phone	Email*
Your Website
Will you need Lodging? YES NO
Will you bring children? YES NO How many ? --Select-- 1 2 3 4 5 6 7 8 9 10+
May we include you in the Directory? YES NO
If willing to be published in the Athens Rewind Directory, Please provide any of the following additional information... Your Profession Name of Spouse/Partner Children if any : Name Age   Name Age   Name Age   More? Former Athens Haunts and Affiliations Former Band Affiliations/Years Current Band Affiliations/Years Former Party Houses Please describe your fondest or wildest memory of Athens in the heyday I choose this memory to: remain anonymous claim this memory Do you know of any persons who should be added to the RIP list? STEP 2 Submit this form If all required info is there, you'll see the RSVP confimation page. STEP3 PAYPAL At the bottom of the RSVP confirmation page is the link to the Paypal Payment Page