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First Name

Middle Name

Maiden Name

Last or Married Name





Country if not USA

Home Phone

Work Phone

Cell Phone

Email address

Spouse Name

Spouse's high school, year & location

Your Occupation

Your Place of Employment

Spouse's Occupation

Spouses's Employment

Graduation status
(just for database, not published)

Accomplishments (awards, degrees. appointments, military honors, gold records, etc.)

Children names
Date of Birth

How many Grandchildren?

Pets and Type

Comments or
Latest news to Share

Future Goals

Person who will know where you will be (wherever you are) 5 years from now.

Another person who will know where you will be (wherever you are) 5 years from now.

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Do you plan to go to the Class Reunion?
August 16, 2014?
If so, including yourself, how many are coming?

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