Before completing the form below, please read the following:
Please use the form below to update your
information. The only information posted on the website will be
your name, email address, city/state, and any comments you wish to make.
Should you decide at a later
date to remove any information you are sending, please email me at
email@example.com and I will be
happy to remove it for you usually within one day. However,
information on the Internet is always being copied by search engines such as
Google and Yahoo. I have no control over these search engines
and it usually takes a lot longer to get information removed from them.
So, always be cautious about what you post! Your information is kept
in our database and will not be shared with anyone.
Your maiden name:
If given, your listing on the web site as well as in the directory
will be under your maiden name followed by your married name.
Your email address:
please include your complete address including the "stuff" after the @.
Do you have your
own web site? If you do, what is your URL? (the http://www. address?)
did you graduate?
Your home phone number (include your area code):
Your cell phone number (include your area code):
If you chat online, which chat program do you use? (Example: AOL Instant Messenger,
Yahoo Messenger, ICQ, etc.)
When you chat, what screen name do you use?
How many children?
How many grandchildren?
How many great-grandchildren?
Your business phone number (include your area code):
Are You Listing For The First Time?
Yes, First Time I've
Listed No, This Is An Update Of My Information
Would You Like Your Name and Birthday Listed On The Birthday Page?
If you check "yes", don't forget to put in your birthday below.
Please Add Me To The Birthday Page No,
Don't Add Me To The Birthday Page.
If You Answered "Yes" To The Above Question, List Your Birthday
(e.g. Sept. 2)
Do You Plan To Support The New Association With A Contribution?
Yes, I Plan
To Contribute No Thanks,
But Please Add My Name To The Web Site
Comments: To Be Published On The Web Site Along With Your email
After you have clicked on the send button above, it may take several minutes
for your information to be sent so please wait. Your name, email address,
city/state, and comments will be listed on the web site and any additional
information you supplied will be kept in our database.
If you have any specific questions, please write to me at firstname.lastname@example.org
Alan 'Skip' Weinstock
Class of 1963