Name at Graduation ______________________________________________________

Current Name           _____________________________________________________

Mailing Address      ______________________________________________________

                               ______________________________________________________

Phone (for our records only) ________________________________________________

E-mail address   _________________________________________________________

I can donate the following for Door Prizes: ______________________________________

______________________________________________________________________

(Please submit business card to be included in reunion book.)

Please send reunion reservations and checks payable to:

Upland Class of 1964 by September 1, 2009

Event	Number Attending	Amount
Friday: No charge		XXX
Saturday: $65 / person
Reunion Book: $15 each
Reunion DVD: please mark if interested. We will contact you with cost if we can make the arrangements at  a reasonable price.	Yes DVD	No DVD
Total Enclosed	XXX

Mail Reunion Registration to:

Upland Class of 1964: 45-Year Reunion
8652 Terrie Terrace
Riverside, CA 92509-3949

Please help us locate missing classmates by providing names and addresses below:

________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________