| Pasadena High School | |||||||||
| Class of 1968 - Fortieth Reunion | |||||||||
| INFORMATION FORM | |||||||||
| (All information is optional, but please provide some way to contact you) | |||||||||
| First Name (as used in school): | |||||||||
| Last Name (as used in school): | |||||||||
| Current Last Name: | |||||||||
| Spouse First Name: | |||||||||
| Name as listed in telephone directory: | |||||||||
| Street Address: | |||||||||
| City: | |||||||||
| State and Zip: | |||||||||
| Country: | |||||||||
| Contact Phone# with Area Code: | |||||||||
| Other Contact Phone# with Area Code: | |||||||||
| Email Address: | |||||||||
| Other Email Address: | |||||||||
| Single: | Married: | Widow / | Widower: | Other | |||||
| Occupation and Employer: | |||||||||
| Working: | Retired: | Other: | |||||||
| #Children | #G-Children | #GG-Children | |||||||
| Military or Other Government Service (You and/or Spouse): | Yes / No | ||||||||
| Branch: | |||||||||
| Rank: | |||||||||
| Years From/To: | |||||||||
| Conflict(s): | |||||||||
| Please rest assured that your information will be held in strict confidence by the planning committee. Should another classmate wish to contact you, you will be notified for approval and method in which you wish to be contacted. | |||||||||
| Please return completed form to: | |||||||||
| PHS Class of '68 Reunion | |||||||||
| P.O. Box 872 | |||||||||
| Clute, TX 77531 | |||||||||
| or | |||||||||
| email to: phs1968_40@yahoo.com. | |||||||||