CLASSMATE NAME ___________________________________________________
                                     first name maiden name last name

SIGNIFICANT OTHER’S NAME___________________________________________
Address _____________________________________________________________
Home phone: ________________________________
Cell phone: ________________________________
E-mail: ________________________________
 

# people attending: ___ @ $80.00 per person (postmarked by September 1, 2010)

 Total Cost $_______

Please make check payable to: Earlene Scott Lowy EHS1970 mail to:
                195 W. Central #332
                 Brea, CA 92821

EXCELSIOR HIGH SCHOOL CLASS OF 1970 REUNION

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