Name:
First
Middle
Last
Married Name
Will Attend Reunion
Deceased:
Yes
No
Date of Information:
Memory Books: :
Marital Status:
Married
Single
Divorced
Separated
Widow(er)
Spouse:
Children (Names):
No. of Grandchildren:
Birthday:
Address:
City:
State:
AB - Alberta
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
BC - British Columbia
CA - California
CO - Colorado
CT - Connecticut
DC - Washington D.C.
DE - Delaware
FL - Florida
GA - Georgia
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MB - Manitoba
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NB - New Brunswick
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NS - Nova Scotia
NT - Northwest Territory
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
ON - Ontario
OR - Oregon
PA - Pennsylvania
PQ - Quebec
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
SK - Saskatchewan
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
YK - Yukon Territory
Country:
Zip:
Telephone:
E-Mail:
Occupation:
Employed By:
Friend/Family member:
Daughter 510-521-5758
Comments:
Admin Notes:
Address is daughter's address
Biography:
Status:
None
Pending
Publish
Do Not Publish
Attachments: