Return This Form by July 15, 2021
NORTHRIDGE CLASS OF 65 – 55th +1 YEAR
First Last Maiden
Street Phone (Home & cellphone)
City State Zip Code
E-Mail address _______________________________________________________________________
Spouse Name (If applicable) ______________________ Cell
Make checks payable to Northridge Class
of 1965. Send your check and return this form by July 15, 2021 to:
If you have already paid and sent the
form, there is no need to do it again, unless something has changed.
If you wish to donate additional funds toward our reunion
expenses, any amount would be appreciated.
Note: If you have fallen on hard times and want to attend, but cannot afford
to pay please call me, it will remain confidential. Also, if anyone needs transportation assistance to
attend, please let us know.
Note: Please let us know if you have any special dietary needs or requests.
David D. Dexter
Tipp City, OH
937-667-8846 or 937-609-5969 (mobile)
indicate what events you would like to participate in
Evening Marion’s Pizza Buy Your Own (BYO) _______ How Many?
Evening $45.00 Single/$85.00 Couple _______ How Many?
Friday evening, September 17th, will be at Marion’s Piazza, 3443 N. Dixie Dr. from
6 to 10 PM
Saturday evening, September 18th, will be at American Legion Post 746, 7015 N. Dixie Dr.
on the upper floor (ADA accessible) from 5 to 10 PM
If you have questions, feel free to call David Dexter at
937-667-8846 or Nancy (Ruggley) Weimer at 937-890-6224