Send/Update your Personal Information for our Reunion Contact Database

Please fill in the form below.  Press the Submit button when finished. Your information will be sent to us by e-Mail.

First

Last Name or maiden name

Married Name

Classmates Name:

Address:

Address (line2):

State:

Zip:

City:

Cell Phone #:

Phone #:

(If applicable)

Spouses Name:

E-Mail Address:

Yes No

Can we list your e-mail address on our Class of '66 Reunion web site?

Name & Address of Nearest Relative in case we lose contact with you

Comment to us:

Please verify your information before pressing the Submit Button. Thanks!