Register for the Current CHS 60's Maxi Reunion

CHS 60's Maxi Reunion II

Saturday, September 4, 2010 - 3:30 p.m. to 11:30 p.m. - Good Time Charlie's

CURRENT REUNION REGISTRATION FORM Reservation Deadline: July 15, 2010 [A late fee of $10.00 per person will be assessed at the door.] Complete the form below, print, and mail it with your check or money order to: CHS 1960's Maxi Reunion P O Box 166 Chillicothe, MO 64601-0166
Name of Graduate:
Maiden Name: (If Applicable)
CHS Class:
Name of Spouse/Guest:
CHS Class of Spouse/Guest:	If your spouse/guest did not attend CHS, please enter "other"
Number Attending:	If you cannot attend, please complete this form and indicate "0" in this field. You may wish to order a Reunion Booklet (see below) and/or make a donation to the CHS 60's Maxi Reunion, so you will need to send this form with your check.
$30 per graduate; $20 per spouse/guest if both are CHS graduates of the same class; $20 per spouse/guest if not a CHS graduate. If spouse/guest graduated from CHS, but from a different class, cost for the spouse/guest is $30.
Number of Reunion Booklets Desired:	If attending, include $5 for each book requested. If you are NOT attending, but you would like a book mailed to you, please send us this information form along with $8.00 for each book to be mailed.
Donation Only:	I (We) cannot attend the reunion, but we have completed the remainder of this form and will mail with our donation payable to "CHS 1960's Maxi Reunion".
Graduate's Street Address:
City:
State:		Zip:
Contact Phone Number:	Include Area Code
Graduate's Email Address:
Confirm Email Address:
PRINT FORM Be sure to include your check or money order in the correct amount! If you have questions, you may call 660-646-3903.

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