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Name: |
Women graduates, please list maiden name and married name. |
Class of: |
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Address: |
Include Street, City, State, & Zip |
Telephone Number: | |
Fax Number: | |
Occupation: | Former Occupation, if retired. |
E-Mail: |
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Marital Status: |
Married Single |
Spouse Name: | |
Children: | Yes No How Many: |
Grandchildren: | Yes No How Many: |
Great Grandchildren: | Yes No How Many: |
My history update: | |
I will be attending the Maxi-VII Reunion: Yes No | I will be
bringing a guest: Yes No |
Cost is $50 per couple or $25 per single. Please make your check payable to the 1950 Maxi Reunion Fund. Amount enclosed: |
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Are you
interested in guided tour of Chillicothe Saturday afternoon? Yes No Please do not check YES unless you will attend for certain! |
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Are you interested in brunch on Sunday morning: Yes No How many: Additional cost is $6 per person. Include in amount enclosed above (check payable to 1950 Maxi Reunion Fund). |
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Mail your check with this printed form to your Class Reunion secretary. |
Chillicothe R-II School District |
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Page updated Wednesday, September 21, 2016 |