Registration
Please help us keep our records up to date.

Name___________________________________________________________________
Address_________________________________________________________________
City___________________________     State_________     Postal code_______________
Country_____________________________    New address?      ___Yes         ___No
Phone_________________________     Email___________________________________
Website_________________________________________________________________
Anniversary_____________________
Family member information
             Name                                     Birthday                       Interests/Hobbies
1.______________________________________________________________________
2.______________________________________________________________________
3.______________________________________________________________________
4.______________________________________________________________________
5.______________________________________________________________________
6.______________________________________________________________________
7.______________________________________________________________________
8.______________________________________________________________________
Additional information
Would you be willing to help in planning a future reunion?  ___Yes    ___No  ___Depends
Would you be interested in a family directory?  ___Yes  ___No   ___Depends
Would you be interested in a family cookbook?  ___Yes  ___No   ___Depends
Would you be interested in a family newsletter?  ___Yes  ___No   ___Depends
Any additional comments___________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Do you have names and addresses of families we might be missing?
1. _____________________________________________________________________
2. _____________________________________________________________________
3. _____________________________________________________________________
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