Clearfield High School
Class of 1964,  45th Reunion Info -

                                                   ( please complete & return by August 31, 2009 )


Graduate Name________________,___________________,_____________________
                                                  (first)                    (maiden,if appropriate)                               (last)

Address:  _________________________________  City:  ______________________

State: ___________________  Zip Code:  _____________________________

Phone: _______ - ______ - __________  

Occupation (yours): _____________________________________________________

Spouse's Name:   ______________________________________________________

Occupation:  __________________________________________________________

E-Mail: ______________________________________________________________

# of Children: _________________  # of Grandchildren: _______________

I / We Will : _____________ , Will Not :__________ Attend.

# Reservations for Saturday Evening at $ 30.00 Each:  = $ ______________

If attending, choice of entree:

____ Broiled Haddock , ____ Stuffed Chicken Breast , ____ Roast Sirloin

Please fill out this information for our reunion booklet, and if you know of any classmate that we may have missed please let us know.

Mail this completed form & Check to:
C.H.S. Class of 1964
c/o Kathy Proud Long
1438 Windy Hill Road
Curwensville, PA 16833-6910

klong1946@yahoo.com                                                   BACK