I’ll be there
( )
One person
( )
Two people
( )
Sorry I can not attend
( )
Name(s) _______________________________________
Address _______________________________________
City _______________________ State _______ Zip _____
Phone # (_______) _______________________________
Number attending ___________________________
e-mail address ____________ @ _________________________
Special Needs(dietary) ________________________________________
Special Needs(accessability) ________________________________________
Other _____________________________________________
( anything you would like to include - - - occupation, family,
etc.)
Total amount enclosed:
$40.00 each X # in party _____ = Total
__________
Payment is due in full by March 25, 2000
Please "Print" and return this Reservation form and payment, as soon as possible, to:
ELHS Class of '65 Y2K Reunion Reservations
c/o Mary Jane Summers-Cunningham
P.O. Box 1565
East Liverpool, Ohio 43920
'65
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