Up Memory Book MIAs- HELP Your Classmates In Memory Business Links

Luther Burbank High School
Class of 1976
30 Year Reunion
Please fill out this information for the Memory Book

  FIELDS MARKED WITH * ARE REQUIRED SO WE CAN KEEP YOU INFORMED
We are looking for current photos to add along with your Senior picture. 
Please email .jpg files to Gale Kinney-Webber.  
If you want to mail a hard copy (please put your name & address on back, 
it will be returned to you) to
Gale Kinney-Webber
PO Box 729
Galt, CA  95632-0729

Name:*        
		First                               Maiden                                     Last
Spouse's Name 
		

Address:*     

City:*	      

State:*		     Zip:*

E-Mail Address:*     



 Add to Mailing List for future class reunions*       Yes   No

   
   Married  Single Divorced    Widowed



Any Kids?         #of boys        #of girls



Any Grandkids?    #of boys        #of girls
 
Any Great-Grandkids? # of boys      #of girls



Any Military Service, if so, when, what branch and where were you stationed




Have you traveled? If so, where




What have you been doing the last 30 years?



Additional comments, or changes to previous information.



                       
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