Maxi-V Questionnaire

Return this form to your Class Reunion secretary (13778 bytes)

Registration Form - CHS Maxi-VI Reunion
June 23-25, 2006
Deadline November 1, 2005

You may complete this form online, but you must then print and mail it to your Class Reunion secretary. Please include your check if you are attending the Maxi-VI Reunion. We hope you plan to attend. Don't miss this opportunity to visit with your old high school friends.

NOTE: Whether you plan to attend or not, please fill out this questionnaire and mail it to your Class Reunion secretary as soon as possible. This information is needed to prepare the Maxi-VI Reunion booklet. If you cannot attend the Maxi-VI Reunion, but would like to have a Maxi-VI Reunion booklet, the cost of the booklet is $5.00, including shipping and handling.

Unfortunately, we cannot accept forms submitted via email or over the Internet as some of our class secretaries do not have this capability. This same questionnaire was mailed to you via U.S. mail. We look forward to hearing from you!

Name:	Women graduates, please list maiden name and married name.
Class of:
Address:	Include Street, City, State, & Zip
Telephone Number:
Fax Number:
Occupation:	Former Occupation, if retired.
E-Mail:
Marital Status:	Married Single
Spouse Name:
Children:	Yes No How Many:
Grandchildren:	Yes No How Many:
Great Grandchildren:	Yes No How Many:
My history update:
I will be attending the Maxi-VI Reunion: Yes No
I will be bringing a guest: Yes No
Cost is $50 per couple or $25 per single. Please make your check payable to the 1950 Maxi Reunion Fund. Amount enclosed:
Are you interested in brunch on Sunday morning? Yes No Optional. Additional cost is $5 per person. Amount enclosed:
Are you interested in brunch on Sunday morning: Yes No How many: Additional cost is $8 per person
Mail your check with this printed form to your Class Reunion secretary.