Alumni and Faculty Information

Please fill in the information in the questionnaire below and e-mail it to Tom Prefling.
Your mailing address and telephone information will only be used for reunion-related mailings.
If you consent, your e-mail address, "My Story" and message to the class will be posted.
Category: Alumni     1964-68 Faculty
Contact/Mailing Information
Maiden Name: (if applicable)
Last Name:
First Name:
Middle Name:
Street Address:
City:
State:   Zip/Postal Code: 
Country:
Home Phone: (include area code for all phone numbers)
Work Phone:  Cell Phone:   Fax:
E-mail address:
May we add your email address to the directory on the class website? Yes    No
Personal Information
Occupation:
Single Married       No. of Years
Spouse:   Is your spouse a classmate? Yes (Class of ) No
Children:
Grandchildren:
"My story" - Tell us what you've been up to since 1968.
May we add your "My Story" to the class website? Yes    No
Message to the class:

May we add your message to the class Web site? Yes    No


Faculty
If you were a 1964-68 faculty member, tell us what class/classes you taught:


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