PERSONAL INFORMATION UPDATE


Please provide the following contact informaation:

We have had past problems with the transmissions of updates

from the web site.  Our current server does not support the

transfer of information.  Until we can find a better method,

complete the form below, copy and paste into an email to

the webmaster.  Or you can just send the information to

Change.  We will send a confirming email.

We would like your E-mail for sending reunion information.

 

First Name:   ______________________________________

Last Name:   ______________________________________

Married Name:   ___________________________________

Goes By:    ________________________________________

Spouse:    _________________________________________

Street Address:   __________________________________

Address (cont.)    __________________________________

City:   ______________________________________________

State/Province:   ___________________________________

Zip/Postal Code:  __________________________________

Country:    _________________________________________

Home Phone:   _____________________________________

Cell Phone:   _______________________________________

Email (Needed):    __________________________________

Birthday:    _________________________________________

Comments:    _______________________________________