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= CLASS WEBSITE EARLY REGISTER FORM =
50TH CLASS REUNION 1961 - 2011
Indicate your choice and mail with your check.
We thank you for reserving early.
Check payable to
Bob Wolf.
Check:
Number_____________

Amount______________ Included: your picture YES ( ) NO ( ) your Bio YES ( ) NO ( )
( ) Friday WOODCOTE only. $10.00 per couple.

( ) Friday and Saturday (Woodcote and Reunion Banquet)
Single $40.00 / Couple $75.00

Yes ( __ ) No ( __ ) Are you going to attend the Sunday Breakfast / at the Motel with us ?
Date______________
Name_________________________________________
Address_______________________________________
______________________________________________

Phone No.______ x ______ x ___________

E-Mail_____________________________________
Mail to: Kay Miller 115 S. Hennepin Ave. Dixon, IL 61021
OFFICIAL 50TH CLASS REUNION - EARLY RESERVATION FORM.
web2011-01
7-10-2011
SATURDAY REUNION DINNER CHOICES


(qty)_______CHICKEN BREAST AND RASPBERRY SAUCE

(qty)_______STUFFED PORK LOIN

(qty)_______SALMON WITH APPLE CIDER GLAZE
* * Please include your Picture and "Bio".
A "Photo DVD" of our Reunion. Available at $5.00 each. Will be mailed to you after the Reunion. Do you want any?
(___) Yes (qty)_____ (amount paid) $___________
(___) No. I don't want a DVD.