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Reservation Form for YHS 2005 Alumni Reunion

Please complete the information sections below and when you are satisfied,
click the Submit Information box at the bottom of this page.
You may have to scroll down the page to complete the form.
 
Name As Student:
First    
Last  
Class
Year 
Current Name:
First    
Last  
Current Address:

City:

State:

Zip Code:

Home phone:
(  ) 
Other phone:
(  )  Ext.

Your E-Mail Address:

If you are bringing a guest or guests, please enter the names here:

Dinner Price, Quantity and Selection at the price of $35 per person
How Many Dinners? (Enter numbers only, please)  

Meal Choices - Enter the quantity (as a number) of each at $35 per dinner.
Lobster 
Chicken 
Veggie 

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