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1. Name:

2. Reunion Year:

3. Daytime Phone Number:

4. E-mail Address:

5. Reunion Committee

6. Reunion Planning Meeting - October 14, 2011

7. Alumni Weekend at Thurtene Carnival - April 20-22, 2012

8. If you indicated you are planning to attend Reunion, can we include your name on the online list of classmates planning to attend?

9. Additional Comments:

T