| (His) Last
Name:_______________________ |
First:___________________________ |
Alumni: Y__ N__ |
Class of: _________ |
| (Her) Last
Name:_______________________ |
Maiden_______________First___________________ |
Alumni: Y__ N__ |
Class of: _________ |
| Address:
______________________ City: __________________ State:
_____ Zip: _________ |
Ph #: Day______________ |
Evening: ______________ |
| E-mail Address:
_____________________________________________________ |
|
|
|
Enclosed is my check for the following
reservations: (Deadline for dinner
reservations is June 20, 2009.) |
| Number of People:
_________________ |
Reservations for Dinner and
Dance - $25/person |
|
$ _____________ |
| Number of People:
_________________ |
Reservations for DANCE ONLY
- $10/person |
|
$ _____________ |
| Number of People:
_________________ |
Reservations for DINNER ONLY
- $15/person |
|
$ _____________ |
|
Please circle your dinner choice:
Chicken Piccatta or Beef Tips w/Gravy
No Food or Beverages may be brought
into the Civic Center |
|
|
|
REUNION
AGENDA: SATURDAY, JUNE 27, 2009 |
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| |
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