In an effort to start an alumni directory, we are asking for the following information:

This information will only be used for school purposes. All address, phone, and email information will be kept confidential, and will be used only to notify you of upcoming school and reunion events.

Fill out any relevant portions of the form. (Be sure to give us an email address.)
When completed, press the Submit button at the bottom of the page to forward this request.

You will receive a confirmation email from us when your information is recieved.

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Mr.

Mrs.

Ms.

First Name Middle Initial Last Name

Maiden Name Spouse Year Graduated East HS

Mailing Address

Home Phone Email

College Attended Year Graduated College

Company Name Job Title

Children's names

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