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Classmate Name: ______________________________________
(Please include maiden name) Address: _____________________________________________ City: _________________________ State: ________ Zip: ______ Cell: ____ -____-______ Email address: ___________________ (If business email ~ please include a personal email also ~ thank you) Military Branch of Service: _____ Date of Birth: _____-_____xx * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Spouse/Guest: ________________________________________ Number Attending: ___ at $50 each $_____ (after July 1st ~ $65) ___ Dinner Options: Chicken and Steak Combo ____Vegetarian___ (Sorry – we are unable to accept credit cards this year)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Website: www.WHS.Class71.com Email: [email protected] www.facebook.com/groups/950260513155390 |