BTW Class of 1987 | Classmate Information Form

Please complete the following form. We will keep your contact information on file for future class events. We promise not to share your information with any third party interests. This information is being collected for BTW Class of 1987 business only.

Classmate's Information:

First Name *

Last Name *

Maiden Name (if applicable)

Email 1 *

Email 2

(alternate)

Birthdate

Spouse's Information:

First Name

Last Name

Birthdate

Did your spouse attend BTW?

Yes No

Current Address :

Address 1 *

Address 2

City *

State *

Zip Code *

If the above is an international address, please use this space to type your address just as it should appear on any correspondences.

Home Phone

Work Phone

Cell Phone

Address of someone who always knows how to contact you (parent(s); grandparent(s); etc.) :

Name

Address 1

Address 2

City

State

Zip Code

Your Children:

Full Name (First, MI, Last)	Sex	Birthdate

* Required

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