* 1. Your Name (First Name & Surname):

* 2. Street Address:

* 3. Suburb:

* 4. Postcode:

* 5. Phone Number:

* 6. Email Address:

* 7. I am a:

* 8. Year(s) at Carrum PS (eg.1980-1986)

* 9. Preferred Contact Method (for correspondence)

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The information on this form is collected for the primary purpose of keeping you informed about Carrum PS Alumni news, activities and events.

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