NNHS CLASS OF 1964
60TH BIRTHDAY CELEBRATION
 
 (PERSONAL DATA FOR COMMITTEE USE ONLY)
 

ADDRESS: ______________________________________________

                    ______________________________________________

                    ______________________________________________

PHONE: ____________________ EMAIL: ______________________________

NAMES OF ATTENDEES AS YOU WANT THEM TO APPEAR ON YOUR BADGE

1. _____________________________________________

2. _____________________________________________

___ PLAN TO ATTEND: # ____ATTENDING @ $25.00 PER PERSON = $__________



MAIL THIS FORM AND YOUR CHECK (PAYABLE TO: NNHS CLASS OF 1964) AS SOON AS POSSIBLE,

(BUT NO LATER THAN 01 SEPTEMBER 2006),

TO:

NNHS CLASS OF 1964
P.O. BOX 6387
NORFOLK VA 23508-0387