Information on this form will be published one time in the Charles City Press for $7. We will contact you to arrange payment. Payment must be made prior to publication.

Family Name OR Class of
Reunion Date
Location
Hosts
# Present
# Total
# of Reunion
Oldest Attended
Youngest Attended
Who traveled the farthest, and from where
In Memory Of

The following 3 areas allow you to include ADDITIONAL information about your reunion. There will be an ADDITIONAL $10 fee to publish this additional information.

Special Activities
Members Present
Other Information
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Contact Information -Your contact information will not be published.

Name:*
Address:*
Phone:*
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