Reunion Registration Contact Form

30th Reunion Registration Form: (please check appropriate line) Will you be attending Friday night Family Meet –n- Greet? _____Yes If attending Friday night, how many will be in your party? ________

_____No

Will you be attending Saturday night 30th Reunion Dinner? _____Yes ____No If attending Saturday night, will you be purchasing a Single _____($40) or Couple_____ ($70) ticket? If you will be bringing a guest, what is their name? ________________________________ (please note whether they are a spouse/partner or guest as this will be included on their name tags!) I will be unable to attend the Reunion, but I’d like to purchase the following: _______ Address Book ($6.50) __________ 8 x 10 Class Photo ($10.00) Would you like to purchase an Ad for the Address Book? _______ Yes _______No (Ads can be your business card or a Congratulations message) Please include those and the monies to cover the ad with this form! Prices of the ads are on the main newsletter enclosed. Reunion Contact Form First Name:__________________ Middle:______________ Maiden:______________ Last:__________________ Address:_________________________________ City:________________ State:_________ Zip:______________ Home Phone ( )_________________ Work Phone ( )________________ Cell Phone ( )_________________ Email:______________________________________ Website:__________________________________________ Birthday:______________________ Anniversary:_________________ Spouse’s name:____________________ Children’s Names and ages:______________________________________________________________________ Grandchildren’s Names and ages:_________________________________________________________________ Where do you plan to live once you retire:__________________________________________________________ Present Occupation:_____________________________________________________________________________ (If you need more space for your children or grandchildren’s names/ages, please use the reverse side) Your bio please keep it as brief as possible as this will appear in the Reunion Address book. You can also do this online at our class website: www.classreport.org/usa/fl/panama_city/rhs/1977 ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ Anything that you wish to keep private, please mark that as such! We will protect your privacy. In order to find you more easily for future reunions, please provide the names of 2 or more people who will always know how to find you. This will help us greatly!!! And we do appreciate it! (Please use reverse side if necessary) First Name:__________________ Middle:______________ Maiden:______________ Last:__________________ Address:_________________________________ City:________________ State:_________ Zip:______________ Home Phone ( )_________________ Work Phone ( )________________ Cell Phone ( )_________________ Email:______________________________________ Website:__________________________________________ First Name:__________________ Middle:______________ Maiden:______________ Last:__________________ Address:_________________________________ City:________________ State:_________ Zip:______________ Home Phone ( )_________________ Work Phone ( )________________ Cell Phone ( )_________________ Email:______________________________________ Website:__________________________________________ Please mail this form back to us by January 1, 2007. Your Registration monies can be sent in separately but the deadline for those are: May 22nd, 2007. If you have any questions please feel free to call or email any of the 3 persons listed on the Reunion Newsletter.