Thanks for keeping in touch!

Please complete this so we'll know where
to notify you about future reunions and other Class of 71 info!
(We have an online class directory with much of the following info - if you give permission. Only Sally Slomzenski Milo and Teri Bernaczyk Kuhar will have access to the complete info, if you request keeping your info private.)
May we list this info on this website? Yes No
First Name -
1971 Last Name -
Current Last Name -
Student or Teacher?
Address -
City -
State -
Zip -
Phone # 1-
Phone # 2-
Your email address -
Your web site -
Occupation -
Marital status -
Kids' ages -
Grandkids' ages -
Message to classmates -
Where can we most likely reach you in 2011?
(Address/Phone - Not for directory)
Other Comments (Not for directory)

Revised 12/12/09