Classmate Information Form

The information here will be included in a Reunion Memory Book unless specified otherwise,
but will never be sold or used for solicitations.

Last Name (maiden-married) First Name Middle

Street Address City State Zip Home Phone

E-mail Address Spouse's Name

DO NOT PUBLISH MY: address phone email

This information will be used only to help locate you for future reunions

Who can help locate you in 5 years? (parent, sibling, friend)

Name Relationship

Address (separate with commas)

Phone E-mail Address

Any other information that would be helpful to locate you in another 5 years?

enter any info here

Military Information

Are you in the military? We are compiling a tribute page on our web site of classmates who have served or are
currently serving in the military. Please mail or email a photo that we can publish on our web site along with
where you served. We realize that some of our classmates are overseas, but we hope that your spouse/parent/friend/sibling
can send this information.

Yes, I am in the military

Yes, I have a photo that I can send

What other suggestions do you have for the reunion committee?

enter other suggestions here