Columbia High Class of ’63 45th Reunion Registration

Please fill out and return promptly

 

 

NAME:___________________________SPOUSE:___________________________

ADDRESS:__________________________________________________________
                                   ( CITY             STATE            ZIP)

E-MAIL ADDRESS ____________________________________________________

HOME PHONE (_____)___________________ CELL (_____)__________________

 

Make checks payable to:
CLASS OF ‘63

 

Mail to:

Linda Boehning
2854 Troon Ct.

Richland, WA 99354

 

Single  $65.00____________

Couple $100.00____________

DONATION____________

TOTAL AMOUNT ENCLOSED____________