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Name (include maiden)
   
 
 
 
Address
   
 
 
 
Phone
   
 
 
 
Email
   
 
 
 
How do you prefer to be contacted?
 
Facebook
 
Text
 
Email
 
Mail
 
 
 
Current employment
   
 
 
 
Are you married?
 
Yes
 
No
 
Previously
 
 
 
Do you have any children?
 
Yes
 
No
 
 
 
If yes, how many? Please supply names, gender, & ages
   
 
 
 
Would you attend the reunion if the date works for you?
 
Yes
 
No
 
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