To:      Evelyn Jacobson  
               23 Old Brook Rd  
               Dix Hills, NY  11746-6404  
         
         
Abraham Lincoln High School – Class of 1958 Reunion  
Sunday, October 12, reservation form.  
  
Please print clearly and return this form with your check to Evelyn Jacobson.  
         
      First name: ________________________ Last name:_____________________________  
         
      Name at graduation:_________________________________________________________  
         
      Address:____________________________________________________________________   
                             Street                                                      City:______________________________________State_______Zip Code_____________  
         
      Phone:_______________________           Cell:_______________________________  
         
      Email:______________________________________________________________________  
         
      Guest Name:_________________________________________________________________  
                   First                         Last  
         
      The cost is $125 per person.  
         
Check or money order only. Make it payable to Evelyn Jacobson, ALHS Reunion.    
  
Amount enclosed:______________  
         
      Indicate here if you have any dietary restrictions:  
       
       
       
       
       
We are considering a visit to the school on Monday Oct. 13 (Columbus Day, No Classes). We will have a light brunch there. Your vote in this poll will guide the committee in making a decision please circle one:

Yes I am interested                                       No                                           Maybe
       

         
At the Reunion, we plan to distribute a directory of the classmates attending the event. If you do not want your address, telephone number and/or your e-mail printed, circle here: 
       
      No address      No telephone numbers      No e-mail
       

       
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