Please print this form, fill it out,
and mail it with a check in the amount of $?? per person to the address below:
John Holst Class of 1961
6413 Innsbrook Way
Orangevale, CA
95662
Don't hesitate to contact me if you have any problems filling
out (or printing) this form.
Return to Reunion information page
| Your Information: | Spouse/Partner/Guest's information: | ||
| First Name | First Name | ||
| Last Name | Last Name | ||
|
School Name (if different) |
School Name (if different) |
||
| Also a classmate? | Y / N | ||
| Street Address | |||
| City | |||
| State, Zip | |||
|
Country (if not USA) |
|||
| Telephone | |||
| Email address | |||
| Reunion attendance information: | |||
| Will you be staying at the event hotel? | Y / N | ||
| Number of persons attending Dinner/Dance | |||
Please note any special instructions below: