Print and enclose with your personal or cashiers check by September 7, 2018.  Make check payable to BHS Class of 63.  (Refunds prior to September 10 only.)

Classmate Name:  ________________________________________________________
                                      ^{First                                   (Maiden)                                Last}
Guest Name:  ____________________________________________________________

Address:  _______________________________________________________________

Home Phone:  (        ) _________________   Cell Phone:   (        ) ___________________

Email:  __________________________________________________

___  I am attending and have enclosed $10 per person ($12 at the door)

 ___ I/We cannot attend    ___ Enclosed is a picture/info to share 

Mail form and check to:  Gail Fremder, 19085 Inman Trail, Lakeville, MN 55044

If for some reason you are unable to print this form (either by highlighting the form and printing, copying and pasting it into a Word document, or by screen printing), please write the necessary information on a piece of paper and include with your check.  Thanks and we look forward to seeing you!