Class of ‘86 ReunionDirectory Order Form

**The information on file with the Reunion Committee will be used for publishing regardless if you choice to order. If you do not

wish to have your information included in the directory please notify Penny Beaman @ 940-683-5838 or email .

We hope by providing the following information you might be able to reconnect with your fellow classmates.

You do not have to attend the reunion to purchase a directory.

Please return this form ASAP as we would like to have directories ready for pick-up at the reunion.

Qty Ordered / Subtotal
$5.00 each
Shipping fee / $3.00
Total

The reunion committee will be publishing the information on file in the directory. Please fill out the following information and check the appropriate boxes even

if you do not wish to purchase a directory, so thatwe can ensure accurate information is published.

Name______Maiden Name:______Occupation:______

Married Single Divorced Widowed Widower Spouse:______

Address______

City______State______Zip______Phone#______

Phone#______Cell phone # ______E-mail address______

Web Site: ______Birthday (Month & Day only):______

Children (including stepchildren):

Name:Age:Name:Age:

______

______

______

Grandchildren:

Name:Age:Name:Age:

______

______

Hobbies or Interest?______

What’s the one thing you miss most about CHS? ______

______

I do not wish to have any information published in the Class of 86’ Reunion Directory.

I give my permission to the Reunion Committee to publish all of the information I have provided.

I give permission to the Reunion Committee to publish only the following information in the Class of 86’ Reunion Directory:

 Name  Address Telephone  E-mail address  Cell phone  Birthday  Occupation

 Children Grandchildren

Signature______Date______

Please complete, sign, return order form and if you wish to purchase a directory, money to:

Penny Beaman Please make check or money order payable to: CHS- Class of 1986

PO Box 343 No credit cards accepted.

BridgeportTX76426

940-683-5838Please feel free to call if you have any questions.

We would like to have directories ready for pick-up at the reunion. So please return this form ASAP.

**If they are not ready for pick-up at the reunion, then please allow 2-4 weeks after the date of the reunion for delivery.