ANNUAL DINNER RESERVATION FORM

ALL RESERVATIONS MUST BE RECIEVED WITH PAYMENT BY OCTOBER 18, 2018

NAME:                                                                                   CLASS YEAR:                      

SPOUSE/FRIEND:                                                          LHS GRAD YEAR:                      

ADDRESS:                                                                                                                          

CITY, STATE, ZIP CODE:                                                                                                  

PHONE:                                                     EMAIL:                                                                  

       RESERVATIONS AT $40.00 PER PERSON (PREPAID BY 10/18/18) $                       

IF ATTENDING WITH A DISTINGUISHED GRADUATE, PLEASE INDICATE…
GRADUATE’S NAME:                                                                                                                       

I WOULD LIKE TO BE SEATED WITH (NAME):                                                                           

I WOULD LIKE TO BE SEATED CLASS YEAR OF:                                                                         

Please send Check or Money Order to LHSAA PO BOX 4508 Pittsburgh PA 15205

Tickets will be at the Reservation Table. No Refunds for cancellations, money will be put towards scholarship fund. Call Fred Heinold at 412-638-1377 for more information.

DEADLINE FOR RESERVATION IS 10/18/18 (please include this reservation form)

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