Name:_________________       ______________    ________________
                   Last                                  First                 Maiden (if classmate)
Guests:         ___________      Class of:___________  (if Jordan Graduate)

Address:      _______________________________________________

City:  _______________________  State: ____          Zip    _________ 

Home Phone: ___________________           Office:        _____________ 

Cell Phone: ________________      Email: ________________________

Please return this form with payment $75.00 per person

Make check payable to:    Jordan Class of 1963

Mail to:                           Mike Welsh
                                       4141 Birchwood Ave.
                                       Seal Beach, CA  90740

 Please note:  Reservations will be confirmed with full payment and handled on a first come, first serve basis until room capacity is filled.

If you are unable to attend party, would you please still complete this form and return it to Sandee and Mike Welsh at your earliest convenience so that we may update our records.  If you want to stay connected to our class…keep us informed with any changes to email accounts or personal contact info.  THIS IS THE ONLY WAY WE ARE ABLE TO COMMUNICATE and STAY CONNECTED WITH YOU.

Sandee and Mike’s Email Address:  m-swelsh@verizon.net

Send mail to sasyblonde@aol.com with questions or comments about this web site.
Last modified: January 21, 2007