Name:

   Spouse/Guest:

   Address:  

   City: State: Zip:

   Email Address:

                                   (you@your_isp_provider)

   Phone: (Home)

   Phone: (Work) 

MEAL CHOICES:

                        Yours:      Steak Dinner:   Chicken Dinner:

                      Spouse:     Steak Dinner:   Chicken Dinner:

       Additional guests:    Steak Dinner: 0 1 2 3 4 5 6 7 8 9 10   Chicken Dinner: 0 1 2 3 4 5 6 7 8 9 10

COSTS

Saturday night dinner . . . $25.00 ea.

(Cost covers meal, web and other expenses)

Please send the appropriate amount to: 

Don Riswold/Class of '64

2409 S. Alpine Ave.

Sioux Falls, SD 57110