chs 2017 class reunion registration form .pdf

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Centralia High School 10-Year Reunion Class of 2007
July 8, 2017
JOIN US FOR A NIGHT OF DINNER AND DANCING!
CLASSMATE INFO: (PLEASE PRINT)
Reunion Class Member’s Name (Add Maiden Name at end) _____________________________________________________________________
Guest Name (1 Guest per Class Member) __________________________________________________________________________________________
Address _______________________________________________________________________________________________________________________________
City _____________________________________________________State__________________________________Zip____________________________________
Cell Phone (

) ________________________________________________________________________________________-

E-mail Address: _________________________________________________________________________________________________________
NAME TAG INFORMATION:
Reunion Class Member’s Name (for your name tag) __________________________________________________________________________
Guest’s Name _____________________________________________________________________

Registration Fee
$30 Per Person (includes dinner)
# Registration _________ x $30 = $_____________________
Please indicate any special dietary requests:

Total Due: $_______________________
Please make check payable to:
CHS CLASS OF 2007

Please mail the form and your check to:

Courtney Mattmiller
1711 State Rt. 161
Centralia, IL 62801
Questions?
Email the committee at:
centraliahs07reunion@gmail.com


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