Reservation Form marketing Default Page Who will be there? Attendance Number of people attending the reunion Please Select 1 2 Check Amount ($50 x Number of Attendees) Make checks payable to: Barry Hines Attorney Trust Account Mail checks to: ATTN: SHS Class of '65 Reunion Barry Hines, Attorney 1224 Centre West Dr. - Suite 200A Springfield, IL 62704 Attending or not, please update your information for the class booklet Name Email Address Home Address City State Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Maryland Massachusetts Michigan Minnesota Mississippi Missouri Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Home Phone Cell Phone Occupation / Employer Spouse's Name Children's Names and Ages Grandchildren’s Names & Ages Great-grandchildren’s Names & Ages Please do not list my name on the website as attending. Message to the Class Image Upload You may upload a family photo.