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Milpitas High Class of 1979
25 Year Reunion
Reservation and Database Information
Please fill the form in as completely as possible. Thanks!
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Name
(First, Middle,
Last, Maiden)
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Mailing Address
(Street Address, City, State, Zip)
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Home Phone
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Work Phone
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Cell Phone
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Email
Address(es)
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# Attending Reunion
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$ Enclosed
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$70/person ~ $130/couple
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Payment by
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Check
Credit Card (enter card information below)
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Credit Card Number:
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Credit Card Expiration Date:
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/
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Signature:
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# Attending Picnic
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Adults
Children
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Optional Database Information
Our class tends to move around a lot! The more information we have in our database,
the easier it will be for us to find you for the next Reunion. Please provide contact
information for a family relative that’s not likely to move in five years. Thank you!
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Relation
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Name
(First, MI, Last)
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Mailing Address
(Street Address, City, State, Zip)
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Home Phone
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Email
Address(es)
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Let us know what you’ve been up to!
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Where this info can be used
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Reunion Materials & Database
Database Only
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Occupation &
Company Name
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Married
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Yes No
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# Years
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Name of Spouse/
Significant Other
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My Greatest
Accomplishment
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The person who's
influenced me the
most and why
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My biggest change
since high school
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Anything else you'd
like to share?
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Print this form and return it with your payment, personal and/or family photo (4 x 6 maximum, nonreturnable)
and business card (if you have one) by July 1 to:
MHS 1979 Reunion Committee
4624 Kane Ct
Fremont, CA 94538
Note: Photos (for slide show) may be emailed to
mhs1979@comcast.net.
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© 2004 Milpitas High Class of 1979 25 Year Reunion.
Last Updated 06/03/2004
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