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* 1. What is your name?

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* 2. If you have a former/maiden name, please right it here. 

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* 3. What is your e-mail address?

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* 4. What is your street address?

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* 5. What town or city do you live in?

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* 6. What state do you live in?

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* 7. What is your zip code?

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* 8. Are you married?

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* 9. Do you have any children?

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* 10. How likely are you to come to the 20 year reunion?

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