1987
 
20 YEAR CLASS REUNION  
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20 Year Reunion Registration Form

 

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If you and your spouse are both alumni of the class, please fill out separate reservation forms. Reservation Deadline: June 20, 2007 Call (402) 291-5504 or email lori_ballinger@hotmail.com if you can't make the deadline.

Send to: Bellevue West '87, 2505 Sheridan Road, Bellevue, Nebraska 68123
Make check payable to: Bellevue West 1987

Name: _______________________________________
Maiden Name: __________________________
Home Address: ____________________________________________________________________
____________________________________________________________________

Home Phone: ____________________________
Work Phone: ____________________________

E-Mail Address: ___________________________________________________________________

The following information is optional and will assist us in locating you for your next reunion.

Drivers Lic. #: ___________________ State: ______ Birth Date: ________________

Parent's Names: _____________________________________________________
Permanent Address: __________________________________________________

Reservations
Number attending: _______ x $50.00 Full Payment _______________ $ _________
      Or        _______ x $25.00 Partial Payment _______________$ _________
                  _______ x $80.00 Couple       ________________$__________
                  _______ x $35.00 Saturday Only _________________$_________
                  _______ x $15.00 Friday Only  ________________$__________

Class 8 x 10 Photograph
Unique class photograph, which includes photo identification line-up list. Will be mailed to your home in 4-6 weeks after the reunion.
      Copies ________ x $15.00 = $ _________

Memory Book
***Do Not order a Memory Book if you are attending the reunion. A collection of addresses, memories of high school and biographical information on your classmates. Includes shipping and handling. Will be mailed to you following the reunion.
      Copies ________ x $10.00 = $ _________

Advertise your business in the Bellevue West Class of '87 Memory Book
     
        ($10.00) = $ _________ Must send copy with payment

Total Enclosed
      ------------------------------------------------------------------ $______