--------Print this page, fill in blanks, and return this form and your associated cost---------

ALUMNI MEETING RESERVATION FORM - Due April 27th, 2018


Name: ______________________________________________

(Women include maiden name)

Your Graduating Class Year: __________

Guest(s): _______________________________________

YOUR MAILING ADDRESS:

Street or PO Box: __________________________;

City:
______________________________ State: _________ Zip: ____________

Your E-Mail (if you have): ________________________________________________________

RESERVATIONS:

NO. of Reservations:______;  times $25  AMT. Enclosed: $_________

Donate an additional $10.00 and become a scholarship patron! $ ________

Complete this form and mail to:

Lagrange Keystone Alumni Association
c/o Susan Crittenden Farschman
511 Riley Court
Lagrange, Oh. 44050
Contact Phone: (later)

RETURN to Alumni home page