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Registration Form - CHS Maxi-VII Reunion
September 23-25-, 2011
Deadline July 1, 2011

You may complete this form online, but you must then print and mail it to your Class Reunion secretary. Please include your check if you are attending the Maxi-VII Reunion. We hope you plan to attend. Don't miss this opportunity to visit with your old high school friends.

NOTE: Whether you plan to attend or not, please fill out this questionnaire and mail it to your Class Reunion secretary as soon as possible. This information is needed to prepare the Maxi-VII Reunion booklet. If you cannot attend the Maxi-VII Reunion, but would like to have a Maxi-VII Reunion booklet, the cost of the booklet is $5.00, including shipping and handling.

Unfortunately, we cannot accept forms submitted via email or over the Internet as some of our class secretaries do not have this capability. This same questionnaire was mailed to you via U.S. mail. We look forward to hearing from you!


Women graduates, please list maiden name and married name.

Class of:


Include Street, City, State, & Zip
Telephone Number:
Fax Number:
Former Occupation, if retired.


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:

Are you interested in guided tour of Chillicothe Saturday afternoon?
Yes  No
Please do not check YES unless you will attend for certain!
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).

Mail your check with this printed form to your Class Reunion secretary.

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