Name:     _____________________________

               Address: ________________________________________

               Phone  Home: _________________ Cell:______________ Alternate:______________

               Spouse or significant other:__________________________________________

               How many years have you been married:___________

               Children (ages)_________________________________________________________

               Grand children (ages)____________________________________________________

               I, we will attend the following activities:

               Friday: Carne Asada & Drinks______ No. of people___________ (1376 Lance Dr. 7:00 p.m.)
               Saturday: Dinner and Dance    ______ No. of People__________  (Alondras Ball Room 8:00 to 1:00)
               Sunday: Picnic                           ______  No. of People___________ (Jardin Alondras 2:00 p.m.)
 
               The cost for the weekend events will be $30.00 Per Person. (children are free)
              -Please complete this form and return with payment to:

               Class of 84
               P.O. Box 4490
               Eagle Pass Tx. 78852

               Please ensure that payment reaches the committee no later then August 20, 2004
               So that we can reserve space and meals.

              Any additional information that might be of importance to the committee:
              ___________________________________________________________________________
              ___________________________________________________________________________
 
              Do you know of any classmates that have passed away, (who-when):
              ___________________________________________________________________________
 

              Questions: Boby Barrientos  773-1191,   Carlos Segura  773-5272, e-mail jcs2hs@yahoo.com
               Lance Dr. is across the Border Patrol Station. (Carlos and Linda Segura’s house)
              Alondras Ball Room is located down town next to the old Sherwin Williams on Rio Grande St.
               Jardin Alondras is located on Hopedale. Maps will be provided on Friday.