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 Please submit your brief paragraph to be inserted into the booklet to: WHSClass71.Booklet@gmail.com ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Spouse/Guest: __________________________________________________________ Number Attending: ________ at $30 each $___________ (after June 1st ~ $40) ________ Dinner Options: Chicken _________ Beef __________ Vegetarian ________ (Sorry – we are unable to accept credit cards this year)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Website: www.WHS.Class71.com Email: WHSClass71@gmail.com Paragraph: WHSClass71.Booklet@gmail.com |