Your participation, questions and/or comments are greatly appreciated!

Please complete this form.
Click on submit when ready to send.

PLEASE NOTE: The physical address, email address and telephone information on this form is needed to contact and remain in contact with members of our class for the purpose of organizing this and future class reunions. Please fill in ALL of this information. We ask that you indicate, where appropriate, the information you do NOT want included on our "Classmates Contact" page.

Current Name:
Are you married?	yes no
Maiden Name:
Spouse's name:
Do you want your address information to be available to others online? yes no
Address1:
Address2:
City:
State:	--- Select --- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
OR Province:
Zip Code:
Do you want your phone number to be available to others online? yes no
Phone Number:	Don't forget the area code
Do you want your email address to be available to others online? * Please fill in your email address even if you do not want it available to others online. We need it for future contact. Thanks! * yes no
Email Address:
Do you want the information below to be available to others online? yes no How many children do you have? Grandchildren? Tell us about your family and their accomplishments. Do you want the information below to be available to others online? yes no What's been going on in your life for the last 25 years? Tell us about your career, interests and accomplishments. Have you attended one of our previous reunions? If so, which one(s)? 10th year reunion 20th year reunion 25th year reunion 2005 Annual Clambake & BBQ 2006 Annual Clambake & BBQ 2007 Annual Clambake & BBQ 2008 Annual Clambake & BBQ Have never attended any of the reunions Are you interested in attending ANY of our reunions in the future? Yes No Would you like to be contacted regarding future reunions or would you rather we take your name off the contact list? Yes, contact me regarding future reunions. DO NOT contact me for any futher reunion. Please take me off the contact list. Additional Comments? Please make sure, at the very least, that you've entered your name, address, phone number & email address. (The email is especially important as it is the one thing that usually doesn't change. Please provide that so that time isn't wasted trying to verify addresses the next time a reunion comes around.) Thank you in advance for your cooperation!

BACK

---

Bulletin Board	Classmate Contacts	Missing Classmates	Back in '79

Questionnaire	ICC School	Photos	In Memory	Guest Book	Contact Us	Home