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*CLASS of 1964*		*CONTACT INFORMATION*

To update your information, please complete the entire form below. Thank you.

Contact Info	Example	Your Information
Last Name * (Note: Ladies, please enter maiden name first)	Smith Jones
First - Middle Name	Jane A
If you want to keep all contact information private and shown as Non-Published, check this box. *
Address 1 Line 1	221 Street Ave
Address 1 Line 2 (if needed)	Apt 2A
City 1	Dallas
State - Zip 1	TX 75224
If you have a second address you want to include, it below.
Address 2 Line 1	221 Street Ave
Address 2 Line 2 (if needed)	Suite 101
City 2	Dallas
State - Zip 2	TX 75224
Home Phone	214-555-1212
Work Phone	972-555-1212
Cell Phone	214-555-2121
Email 1 (Provide at least one!)	email@yahoo.com
Email 2 (if any)	email2@work.com

* Required - We need your last name at SOC to identify you. Married ladies may enter their current last name

second. Any additional information you would like us to have can be included in the comments section.

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Please put me down as willing to help on the 50th reunion planning committee.