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CLAIRTON HIGH SCHOOL - CLASS OF 1952


REGISTRATION FORM

CHS'52 REUNION - AUGUST 30-SEPTEMBER 1, 2007

Last Updated: 4/24/2007


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TO MAKE YOUR RESERVATION, PRINT THIS PAGE AND FILL IN THE INFORMATION REQUESTED. INFORMATION ON WHERE TO SEND THE REGISTRATION FORM, ALONG WITH YOUR CHECK Made Payable to "C.H.S. CLASS OF '52 REUNION--EILEEN BEKAVAC, TREASURER" CAN BE OBTAINED VIA E-MAIL. JUST CLICK ON: DUKE TULLIUS AND HE WILL PROVIDE YOU WITH THE INFORMATION. PLEASE BE SURE TO TELL HIM WHAT INFORMATION YOU ARE SEEKING.


NAME:

SPOUSE/GUEST NAME:

ADDRESS:

HOME TELEPHONE (w/Area Code):

E-MAIL ADDRESS:

I WILL ATTEND THE MIXER ON THURSDAY NIGHT.....YES_____ NO_____

I WILL ATTEND THE GALA REUNION ON FRIDAY NIGHT.....YES_____ NO_____

I WILL ATTEND THE CHS REUNION PICNIC ON SATURDAY AFTERNOON.....YES_____ NO_____

DINNER CHOICES: English Style Flounder, Beef Tenderloin Medallions.

YOUR Dinner Choice:

SPOUSE/GUEST Dinner Choice:

TOTAL Amount Enclosed ($52 for each dinner):___________________________

Make Check Payable to: "C.H.S. CLASS OF '52 REUNION--EILEEN BEKAVAC, TREASURER"


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