SHS Class of 1965 Reunion

Print out this form and please mail it to the address below!

 

Name  ______________________________________________________________________________

 

Address ___________________________________________________________________________

 

City  _________________________            State  _____________________    Zip ______________

 

Phone Number  _________________________________________________

 

Email  ______________________________

 

 

 

I will be attending  _______      I will not be attending this year __________

 

__________________________will be attending with me.

 

                   Friday, Sept. 23, 2005          $20.00 (per person)   ___________ญญ_

                   Saturday, Sept. 24, 2005       $20.00 (per person)  ____________

                   Donation to help defray mailing cost etc.               ____________

 

                   TOTAL  (make check to SHS class of 1965)         ____________

 

 

Send to:       Class of 1965

                   % Kathi Pickens Dunn

                   7198 122nd Way North

                   Seminole, Fl 33772