Jefferson High School Class of 1974 Dinner and Reunion Reservation Form

Lino's Ristorante
5611 East State Street, Rockford, Illinois, 61107

Saturday, June 29, 2019
Time: Cocktails & Sign-in 6:00-7:00 p.m.
Dinner and Fellowship 7:00 to 10:00 p.m.

Menu: Pasta and Pizza Fest
Lino's Special Salad • Bread and Butter • Variety of Pasta (Mostaccoli | Ravioli | Tortellini)
1 large pizza-one topping for every 6 people • Soft drink, Coffee • Spumoni
Served Family Style

Cash Bar

Admission: $25.00 each
Reservation Form
Full name of each attendee
First Attendee
Second Attendee

Third Attendee
Fourth Attendee
Total X $25.00

Name of person making payment
First Name

Maiden Name

Married or Last Name

Home Address

Home City
Home State
Home ZIP

Home Country
Home Phone
Cell Phone
Email

Write Check for full amount to: "Jefferson High School Class of 74"

Please print form and mail to:
Jefferson Class Reunion c/o
Kevin Nousianen
9312 Emerson Parkway
Machesney Park, IL 61115

For questions or special arrangements (including dietary), please contact Kevin at (815) 289-5713
or email at kevin.nousianen@gmail.com.

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