| RETURN THIS PORTION TO: | |||||||||
| STANLEY TAKEMOTO | |||||||||
| FHS CLASS OF 1956 | |||||||||
| 3277 PAHOA AVE. | |||||||||
| HONOLULU, HAWAII 96816-1630 | |||||||||
| NAME (INCLUDE MAIDEN NAME) | |||||||||
| ADDRESS | |||||||||
| PHONE # | |||||||||
| NAME OF GUEST | |||||||||
| NO. ATTENDING | X$35.00 PER PERSON | TOTAL | |||||||
| SLOT MACHINE TOURNAMENT | X $20.00 PER PERSON | TOTAL | |||||||
| CASH DONATION | TOTAL | ||||||||
| TOTAL | |||||||||
| MAKE CHECKS PAYABLE TO: FHS CLASS OF 1956 | |||||||||