Main News People Photos Contact Guestbook Links Donate
               

Contact Information Form

Thank you for submitting this form and allowing us to update our contact list with the most recent information about you. If you prefer, you can also send email to Contact@70SHS.com

None of the information is required, so it is ok to just fill out as much as you wish.

To send your completed form to us, just hit the Enter key, or click the Submit button below the form.




                           Your Full Name:                  
                           

                           Maiden Name:                  
                           

                           E-mail Address:                  
                           


                           Street Address:                  
                           
                           City:                  
                           
                           State or Country:               ZIP:
                                           

                           Home Phone:                  

                           Work Phone:                  

                           Mobile Phone:                  

                           Your 1970 SHS Status:

                           1970 SHS Graduate (June or Aug)
                           Yes, my name is on the 1970 SHS List of Graduates

                           1970 SHS Graduate (June or Aug)
                           My name is not on the list - Please add my name

                           - - - - - - - - - - - - - - - - - - - - - - - - -
                           Transferred Senior - woulda been '70 SHS Senior
                           Student 1960-74 (not a 1970 graduate)
                           Family Member of Student 1960-74
                           Close Friend of Student 1960-74

                           SHS Faculty 1960-74
                           SHS Staff 1960-74
                           - - - - - - - - - - - - - - - - - - - - - - - - -

                           Elaborate (names, yrs, situations, etc.):
                           


                           What is your favorite 70's song?
                           



                           Participation Level - Check all that apply

                           I want to help organize - Call me.
                           Add me to the Notification List
                           I AM PLANNING to attend the 55th Reunion
                           I am Undecided about attending the 55th Reunion
                           I will NOT BE attending the 55th Reunion




                           Do you have a website to share?


                           Business or Personal website for the Links Page:
                           


                                        Anything else you think we should know: