First Name
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Middle Name
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Last Name
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Maiden Name
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Address
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City
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State
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Zip Code
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Cell Phone
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Home Phone
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E-mail Address
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Facebook:
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MySpace:
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Personal Website:
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Include information in reunion memory book:
Please inlcude my information in the reunion memory book.
Do not please do not include my information, I am simply confirming or
updating my address to receive notification about future reunions.
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In an effort to control our mailing costs, we are asking you to select one of the following options:
Do not send additional information, I am simply confirming or updating my address.
I have details from the web site, previous mailer or other source.
Please send additional information, such as your latest mailer or invitation.
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To maintain the integrity of our database, please select one of the following as the source of this information:
Submitted by the actual person
Submitted by another classmate or friend
Submitted by the Reunion Committee
Submitted by other
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Accuracy of Submitted Address:
Definitely a good address
Probably a good address but not sure
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Please enter additional information about yourself that you would like
included in the next reunion memory book (Spouse/Children/Education/Military Service/Career):
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Comments
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Planning to attend 25th Reunion Friday November 27, 2009
Yes, I plan to attend ($30)
Yes, I plan to attend with guest ($60) Guest Name:
Payment Type:
Paypal/Online
Mailing Check
Pay At Door ($35/person)
No, I do not plan to attend reunion
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