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Contact and Information Updates

UPDATE YOUR INFORMATION FOR OUR RECORDS
NOTE: Only items with an asterisk are required. The other information will be useful when we expand our database.
Graduation Month....*

June January
Graduation Year*
Gender*

Female Male
Salutation*

Ms Mrs Mr Miss Rev Dr
First Name*
Last Name USED AT STEINMETZ*
CURRENT Last Name (if different)
Birth Date (mm/dd/yyyy)
- Month - Day Year
** CONTACT INFORMATION **
Street Address*
City*
State*
Zip Code*
Country*
Main Phone*
Alternate Phone Nbr
Alternate Phone Nbr Desc.

Cell Home Work Other
Main Email Address*
Alternate Email Addr
(NOTE: In the future, paid Alumni Members will have access to an online list of fellow members and their email addresses. Would you like your email address available on this protected area of our site?)
Publish My Email*

Yes No
(NOTE: In the future, the Steinmetz Alumni Association Newsletter will be available online, via email and via U.S. Mail. When this feature is available, we will contact you.)
Newsletter Delivery Preference*

Email US Mail Online
Yahoo ID
** SPOUSE OR LIVE-IN PARTNER INFO **
Married*

Yes No Widowed
(NOTE: Spouse information is NOT required, but it may help us find you for future reunions and other Alumni Events.)
Spouse/Partner First Name
Spouse/Partner CURRENT Last Name
Spouse/Partner Maiden Last Name
Spouse/Partner Attended Steinmetz

Yes No
Spouse/Partner Grad Month

June January
Spouse/Partner Grad Year
** GRAMMAR SCHOOL INFO **
(NOTE: Grammar school information is NOT required. It is for future use.)
Grammar School
Grammar School Grad Month

June January
Grammar Grad Year
*** MISC. INFORMATION ***
Were You a Member of:

Band Orchestra Advanced Choir None
Comments or Questions
Alumni Member*

Yes No I'm Going to Join Today
Should be Empty:

Steinmetz Alumni Association

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