Classmate Reunion Questionnaire

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Classmate Name

Spouse Name

Address Line 1

Address Line 2

City, ST, Zip

Phone

Are you on Facebook?

What is your User name?

Are you Retired?

Occupation

What would you like to say to your fellow classmates?

Will you be attending the Reunion?

Will you be bringing your spouse or a guest?

Are you interested in touring the old High school?

Are you interested in meeting for breakfast on Sunday July 23rd?

If you are unable to attend, would you like the class handout mailed to you?

Cost is $35 for yourself and $32 for your spouse or a guest. ($67 total).
If you only want the handout, the cost is $7.00.
Mail your check to: Tom Nesler
2900 Kennedy Rd, Apt 13
Janesville, WI 53545