Check payment

AHS 1968 50th Class Reunion Attendance                      Payment by check

Copy and paste the form below into Word on your computer to print.  Mail a copy of this form filled out along with your check to:     

      Tom Castor
      1949 Stoneridge Dr.
      Ashland, Ohio 44805


Make checks payable to:  AHS Class of1968  

                    *************************************************************************************

.AHS 1968 50th Class Reunion Attendance             

Pay by Check

 

First Name : __________________      Spouse/Guest  ________________

     

Maiden Name: _____________________

 

Last Name: _____________________

 

Street: _____________________

 

City: _____________________

 

State: _____________________

 

Zip: _____________________

 

Home Phone: _____________________

 

Cell: _____________________

 

Email:  _____________________

 

# Attending: _____________________

 

 

Check choices and number attending: 

Saturday:  Golf_____   Rock and Roll Hall of Fame _____ Mohican State Park _____

 

Dinner/Dance    #_____ X $45.00 per person                                 = $________

Brunch               #_____ X $12.00 per person                                = $ ________

Donation to AHS Class of 1968                                                      = $ ________

 

TOTAL:                                                                                              $_________