Name:
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Spouse/Partner:
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Address:
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City/State/Zip:
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E-mail - Home: __________________________________________________________________
Work: ___________________________________________________________________
Telephone - Home: ___________________________________________________________________
Work: ___________________________________________________________________
How many miles will you travel to attend the reunion?
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How many children do you have?
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If you have an unusual entertainment skill, please describe it.
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If you have experienced "career flexibility", please describe it.
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If you live in a small town, what is it's population.
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If you have served the government as a civilian or in the military, list the number of years of service
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How many last names have you had?
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If you commute a considerable distance to work, list the distance in number of miles
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Any other news, events, special memories
you'd like to share? Please indicate whether it is ok to add your news to the
class list page.
______________________________________________________________________________________________________
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lmalchow@itol.com