Please fill out and RETURN at your convenience to
Larry and Judy Miller
22736 Rifle Ridge Terrace
Elkhorn NE 68022 

Name [Last, First Middle (Maiden)]:

Address


Telephone:                                      E-mail address:      

Web Address: 


Spouse's Name

Marital Status (Circle or place an "x" after one):  S     M     D     W

# of Children:                         # of Grandchildren:

Retired:                      Occupation:



Name, address and telephone of permanent Omaha contact or others who could help us locate you in the future:

Organizations/Volunteer groups you work with; interesting activities in which you are involved:



Most interesting or humorous happening (s) to you since graduation; any brags or comments:


Help us make this a great event by checking one of the following so we may plan accordingly:

In all probability, I will ( ) will not ( ) attend in '98

I would like to volunteer to help with (place a "x" after those activities):
Friday, June 26 Cocktail Party: 
Sat. June 27 Golf:           Tennis:                Tour:                       Dinner:                 Program:
Sun June 28 Brunch:

Other comments or information you wish to share. 


Thank you.