Phone:

Email:

Please include my email on mailing lists for updates
Yes
No

Please include all my information in the next class directory
The directory for 2008 has already been printed but we will store your information and put it in the next printing.
Yes
No

Only include the following information the Directory:
check all that apply
Name
Address
City,State only
Phone
Email

ARE YOU COMING?
I'll be there!
I'm thinking about it...
Sorry... can't make it

Number Adults attending Lunch
(include yourself):

Number Children attending Lunch
(children may attend lunch for free):

Number Attending Reconnect Social
(include yourself):
please note: If you have kids you'll need to find a babysitter.
The Social is Adults only.

I'd like to reserve a copy of our
Graduation / Senior Breakfast DVD: only $5
Yes
No

Payment
The check is in the mail
I'll pay when I get there