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For those of you who have misplaced your response form and need another
print out this page and U.S. Mail it back to me. If you lost my address also
please email me and I will send it to you.
Cut along line
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Lakeland Regional High School 25 Year Reunion Response Form
Please complete and return along with your check made payable to Lakeland Class Of 75.
If you cannot attend please be so kind as to return the form anyway. We would like to keep
our records current.
Name:___________________________________________________________
(include maiden name if applicable)
Address:_________________________________________________# of people attending____________________
_______________________________________________________Amount Enclosed: $50/$95
Phone: (_______)_______________________Email_________________________________________
Would you like to be listed in our Class Directory?
If YES, how would you like to be listed?
Yes No
All Info Name and address only
Other (specify)__________________________
Married? Y/N How many years?_________#of children_________________ages_________________
Any Grandchildren : Y/N If so how many_______________ages____________________
Occupation__________________________________________
Date Of Birth month, Day, Year ______/________/________
Any additional comments:
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