Registration Forms

Please complete the REUNION RESPONSE FORM and return with your check.

Checks made payable to: Horlick Reunion Class of 1964

Mail to Sue Faust, 3019 St Clair St, Racine, WI 53402

Reservations are due no later than August 15, 2014

Class of 1964 50th Reunion Response Form (please print)

Please mark all of the activities you would like to attend

Name:_____________________________ Classmate Guest

Johnson Wax Tour – free Friday 1:30pm ________ ________

Tour of Horlick - free Saturday 11am ________ ________

Mike & Angelo’s - $15 per person ________ ________

6214 Washington Ave, Racine

Infusino’s - $50 per person

3201 Rapids Drive Racine

Booklet only

If you are unable to attend but would like a booklet, the cost is $10 which includes mailing. _________

Additional contributions are appreciated and will be used to defray costs. Thanks.

Gift $_______________

Total of check enclosed $________________

I am unable to attend the 50^th reunion _________

Name________________________________________________________________________

(First name) (Middle initial) (Maiden name) (Last name)

Address______________________________________________________________________

(Street) (City) (State) (Zip)

Full name of

Spouse/Guest_________________________________________________________________

Phone number________________________

Email________________________________

Marital status (married, single, divorced, widowed)___________________________________

Children (names and ages)_______________________________________________________

_____________________________________________________________________________

Grandchildren (names and ages)__________________________________________________

_____________________________________________________________________________

Schools/Degrees_______________________________________________________________

_____________________________________________________________________________

Highlights____________________________________________________________________

_____________________________________________________________________________

Occupation/Employment________________________________________________________

Hobbies______________________________________________________________________

_____________________________________________________________________________

Travel Experiences____________________________________________________________

_____________________________________________________________________________