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Update Form

I do not want my information to be included in the LAKE ERIE magazine.


THIS IS NEW INFORMATION
NAME last name/first/middle/maiden	CLASS YEAR	DEGREE	BIRTH DATE
SPOUSE last name/first/middle/maiden	CLASS YEAR	DEGREE	BIRTH DATE
	(if from LEC)	(if from LEC)
HOME ADDRESS number/street/apartment	CITY	STATE	ZIP
	You may publish my e-mail address on the LEC website.
TELEPHONE	E-MAIL ADDRESS


THIS IS NEW INFORMATION
OCCUPATION title	EMPLOYER full name
ADDRESS number/street/apartment	CITY	STATE	ZIP
TELEPHONE	E-MAIL ADDRESS
SPOUSE'S OCCUPATION title	SPOUSE'S EMPLOYER full name
SPOUSE'S ADDRESS number/street/apartment	CITY	STATE	ZIP
SPOUSE'S TELEPHONE	SPOUSE'S E-MAIL ADDRESS

THIS IS NEW INFORMATION

BIRTH ANNOUNCEMENT

CHILD'S NAME:

MALE

FEMALE

DOB:

SIBLING'S NAME:

MALE

FEMALE

DOB:

SIBLING'S NAME:

MALE

FEMALE

DOB:

MARRIAGE ANNOUNCEMENT

DATE OF MARRIAGE:

HONOR OR ACHIEVEMENT

RECENT HONOR OR ACHIEVEMENT:

ALUMNI RECOGNITION

MY NOMINATION FOR NATIONAL ALUMNI BOARD:

MY NOMINATION FOR ATHLETIC HALL OF FAME OR DISTINGUISHED ALUMNI AWARD:

ADDITIONAL COMMENTS AND INFORMATION FOR CLASS NOTES:

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