Registration Form for Class of ’63 Reunion
Please
submit this completed registration form with your payment.
Name_____________________________________________________
First Maiden (if applicable)
Last
Occupation__________________ Significant Other_____________
Address___________________________________________________
City/ST/Zip___________________ email_______________________
Phone (Home)______________
(Business)_________________
I
will or will not be attending the Class Reunion
(Please circle one)
Please indicate the number of persons for:
Friday (1) or (2) @ $17.50 each $__________
Saturday – Select Entrée Below (1) or (2)
@ $32.50 each $__________
(Complimentary Class Directory with Paid
Registration)
I would like a Class Photo $15 each $__________
Send me a Class Directory–Won’t be there $15 each $__________
A confirmation will be sent
to you.
CLASSMATE
SURVEY FORM
What’s been happening in your life since the last time we were together? Since graduation? Your family? Accomplishments to share? (Please limit to 100 words or less). _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
The Classmate Survey Form must be received by April 30, 2003 to ensure that it will be included in the printed directory that will be distributed at registration of the Class Reunion.
The Class of ’63 Reunion Committee
P O Box 1400
N. Sioux City SD 57049
email: fun4menu@pionet.net Registration Form 63