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Classmate name: _________________________
Street address: _________________________
City, _______________ State _____ and Zip: _____
Your information should be included in the 2008 Memory Book and the DVD. Please fill this our and send it in even if you don't come to the Reunion.
Marital Status: _____ Married _____ Single _____ Divorced _____ Widowed
Spouse's/Companion's Name: _________________________
Current Occupation:__________ Retired (from) __________ Active (in) __________ Business:
Phone Number: ( ) __________ E-mail Address:_______________
Number of Children: _____ Number of Grand Children: _____
Number of Great Grandchildren _____ Number of Great-Great Grandchildren _____
Hobbies/Interests: (may be included as space available in the Memory Book)
Please check the items you want to order:
The Evening per couple ² _____ $60.00 for 1 couple (two persons)
The Evening per single ² _____ $30.00 for 1 person
² The Evening includes a reservation at the Palmer Junior High School Center, the buffet meal, coffee and tea, the Memory Book, entertainment and hosting by Joe Ben Stone, your pictured name tag, a graduate test with the opportunity to have The Evening charges refunded to you, and your Class picture taken ($16 for your own copy).
³ The opportunity to order a copy of the Memory Book on DVD that will include the same as the print version of the book, the test and answers, old photos, plus informal photos taken at this reunion. Please allow 6-8 weeks for processing and mailing after the Reunion. This may be ordered now or at the Reunion as you choose.
Class Picture (professional photographer) _____ $16.00 per copy
Number of DVDs _____ $20.00 per copy
Total $ _____ (by check or money order only, please no cash)(Make Checks payable to WCHS Class of 58)
We look forward to seeing you!
Sherri (Bartlett) Mullins
Secretary, WCHS Class of 58
1739 E. Mechanic
Independence, MO 64050