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FUHS ALL-ALUMNI POW WOW 2011 RESERVATION FORM

(Fill out and mail with your check)


PLEASE PRINT

NAME OF GRADUATE: (Print name as you want to see it on your name tag.)
( )
First Maiden Last
FUHS CLASS YEAR

NAME OF SPOUSE/GUEST:

( )
First Maiden Last
FUHS CLASS YEAR (Put class year only if attended FUHS.)

(An address label is a good idea for the address line below.)

ADDRESS

CITY, STATE ZIP

BEST WAY TO REACH YOU: HOME/WORK/CELL PHONE

EMAIL

(We will plan for you to sit with your FUHS class unless you request otherwise below.)

CLASS YEAR FOR SEATING IF NOT WITH YOUR CLASS

Make check to:


FUHS ALUMNI POW WOW - $32 each or $40 each if postmarked after January 31, 2011
Mail to:
Susan Beazley
839 Las Lomas Ave., Pacific Palisades, CA 90272-2429
AMOUNT OF CHECK ENCLOSED FOR 2011 POW WOW LUNCHEON $

DATE MAILED CHECK #

Print the name of any guests in addition to the one above. (For ALL FUHS alums, give the FUHS
class year, maiden name and a home and/or e-mail address so they can be added to the contact
list. Indicate if you are writing on the back of this sheet.)

ADDITIONAL GUESTS

SPECIAL NEEDS GUESTS: Do you need special seating to allow for your walker or wheel chair?

Print the name and a home and/or e-mail address of any alum you think we may be “missing”.
(Indicate if you are writing on the back of this sheet.)

MISSING ALUMNI

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