BHS-CRHS Class of 79 25th Reunion

Please provide some information about yourself to share with the Class of 1979

* = required field

Which School?

 BHS    CHRS

Name (include maiden name)

Phone*

Ok to post my mailing address

YES    NO, please keep it private

Mailing address* (Street / PO Box)


City*

State*

Zip*

E-mail address*

Family Information

Occupation

Hobbies/Interests

Names of any deceased classmates
to list on a memorial page in the program

Names or addresses of
other class members

Name

How many people?

# Will attend       # Will not attend

$48.00 per/person

Choice of Dinner
( Please check the following)

  Broiled Stuffed Flounder Filet with Crabmeat and Shrimp Stuffing with Lemon Butter Glaze

  Roasted Lobster and Chicken Breast with Lobster Butter

  Slow Roasted Prime Rib with Natural Pan Jus

  Vegetarian Entrée – by special request

You can click send or print and mail along with check:
Please mail to:
BHS/CRHS Class of 1979,
80 Marimac Road,
Bridgeton, NJ 08302
by July 7, 2004

Make checks payable to : BHS/CRHS Class of 1979