Print & Fill in This Form & Mail to Harry Johnstone

Please return this entire sheet by July 15, 2009, with your check for $55. per person for dinner

Mail to : Harry Johnstone

378 Boxwood Lane

Cinnaminson, NJ 08077 856-261-8734

QUESTIONNAIRE

NAME _______________________________________________________

ADDRESS ____________________________________________________

________________________________________________________

PHONE _________________________ EMAIL _____________________________

MARITAL STATUS __________________________________________

SPOUSE/PARTNER NAME _____________________________________

NUMBER OF CHILDREN ____________ GRANDCHILDREN _______________

OCCUPATION_____________________ RETIRED __________________

COMMENTS _________________________________________________

(Use reverse also)

____________ Yes, I will be able to attend our 50^th reunion. Enclosed is my check

Dinner Choice

___ Chicken Roulade __ Petite Filet Mignon _______Grilled Atlantic Salmon

______ I intend to stay at the Sleep Inn in Cinnaminson

_____ I regret that I will be unable to attend. Please share my information with my

Classmates

______ I would love to tour our high school. (Number ____)

______ I am unable to attend; but am enclosing my check for $5 for the cost of a booklet