1. LCHS Class of 1973& 1974 Summer Bash August 7, 2010
RSVP with payment by: Wednesday, July 7, 2010 Cost: $45.00 per person
Class of 1973  Class of 1974 
Name: (First) ________________________(Last) _______________________________
(Maiden Name) _______________________________
(Please print as clearly as possible)
Make Check Payable to: LCHS Class of 1973 Please mail to: LCHS Class of 1973
c/o Kim (J) Edwards
98 Redington Street, Swampscott, MA 01907
Number of People Attending ___________
Spouse / Significant Other Name attending function with you:
(First) ____________________________ (Last) __________________
(First) ____________________________ (Last) __________________
Home Phone (Please include Area Code) ___________________
Please provide email address for confirmation of receipt of payment)
EMail Address (Home)________________________ (Work) ________________________
SPECIAL NOTE (or advise if special dietary needs)
(To register for the Golf please fill out the Golf Registration Form on other side)