 |
|
|
**CLASSMATE DIRECTORIES WILL BE FOR SALE FOR A NOMINAL FEE. YOU CAN BUY THEM; ONLINE, IN A TICKET PACKAGE, OR AT THE EVENTS.
|
|
|
|
|
|
|
|
NAME:
|
|
|
|
|
|
STREET ADDRESS:
|
|
|
|
|
|
CITY / ST / ZIP:
|
|
|
|
|
|
PHONE:
|
|
|
|
|
|
|
If you do not wish for your Street Address, Phone, &/or e-mail to be Printed, you can just list the information you would like to list. Please at least include City and State
|
|
|
|
E-MAIL ADDRESS:
|
|
|
|
|
|
|
|
|
|
MARITAL STATUS:
|
|
|
|
|
|
SPOUSE'S, PARTNER'S, or SIGNIFICANT OTHER'S NAME:
|
|
|
|
|
|
|
CHILDREN (if applicable):
|
# of Boys:
|
|
|
|
|
|
# of Girls:
|
|
|
|
|
|
|
CURRENT EMPLOYER:
|
|
|
|
|
|
[Name of Business or Agency] - If Applicable]
|
|
|
|
TYPE OF BUSINESS:
|
|
|
|
|
|
[What does the Business or Agency do?]
|
|
|
|
YOUR POSITION / TITLE:
|
|
|
|
|
|
[Examples: Secretary, Owner, V.President, Manager, Home Maker]
|
|
|
|
SHORT BIOGRAPHY:
|
|
|
|
|
|
In 100 words or less, Tell us about you: some of your accomplishments, where you went to school, about your family, or even problems you may have over-come.
|
|
|
|
|
|
Thank you for taking the time to fill in this update.
|
|
|
|
|
|
|
|
|
|
A confirmation Page will appear after you SUBMIT. Click the BACK button to get back to the LANEY85.org web-site.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|