Clearfield High School
Class of 1979,  30th Reunion Info & Reservation -

                                                   ( please complete & return by July 3 , 2009 )


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

Address:  _________________________________  City:  ______________________

State: ___________________  Zip Code:  _____________________________

Phone: _______ - ______ - __________  

Occupation (yours): _____________________________________________________

Spouse's Name:   ______________________________________________________

Spouse's Occupation:  __________________________________________________

E-Mail: ______________________________________________________________

# of Children: _________________  # of Grandchildren: _______________

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

# Reservations for Saturday Evening at $ 25.00 Each:  = $ ______________

Class Member Only Cash Drawing at $ 5.00 Each:        = $ ______________

                                                                    Donation:        = $ ______________

                                                             Total Amount:        = $ ______________

            
Even if you can't attend the reunion, please fill out this information for our reunion booklet,
If you know of any classmates that we may have missed please let us know.

Mail this completed form & Check ( payable to "CHS Class of 1979" ) to:
Nick Santinoceto
418 West Locust Street
Clearfield , PA 16830

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