Make your own free website on

Return This Form by April 15, 2010




(Please Print)


Name _______________________________________________________________________________          

                        First                                        Last                                         Maiden


Address _____________________________________________________________________________

                        Street                                                                                      Phone


                        City                                         State                            Zip Code


E-Mail address _______________________________________________________________________


Spouse Name (If applicable) ____________________________________


Make checks payable to Northridge Class of 1965.  Send your check and return this form by April 15, 2010 to:    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 and it will be kept confidential.

                                                Ruthellen (Kelley) Gunning

                                                633 W. Broadway St

                                                Tipp City  OH  45371

 937-667-8272 or 937-760-8383 (mobile)



Please indicate what events you would like to participate in

    Friday Evening Pizza                          Buy Your Own                       _______ How Many?

    Saturday Breakfast                             Buy You Own                                    _______ How Many?

    Saturday Evening                               $25.00 Per Person                   _______ How Many?


If you need hotel reservations please consider these options:


Dayton Airport Inn

7575 Poe Ave (Next door to Celebrations II)

Dayton, OH  45414

937-454-0550 Ask for Natasha Cox and tell her you are with the Northridge Class of 65

Price is $59.99 per night (includes continental breakfast) Handicap rooms available

We have 10 rooms blocked; Reservations must be made by April 25, 2010.






If you have questions, feel free to call  Ruthellen (Kelley) Gunning at 937-667-8272 or Penny (Winterbotham) Miller at 937-898-7701