NCHS Class of 1965 Personal Information Form
First, please tell us whose picture this is:
(This helps us recognize you as a real Ironperson.)
Who's in the picture?:
Please note: We will include only your name, city, and state on the "Classmates" web pages.
To protect your privacy, we no longer post personal e-mail addresses anywhere on the Class of '65 Web Site.
However, with your permission, we will forward messages to you from interested classmates and friends
and from you them (if the messages appear legitimate & do not include any form of solicitation). Please click
on the desired link to a classmate on any of the "Classmates" pages to request a message to be forwarded.
We have posted your 1965 photo on the Web site, and will also add a more recent photo if you send us one (either a reprint or an electronic image).
Any additional information you send in this form may be used in updated Reunion Yearbooks,
which are printed and distributed only by hand or by US Mail.
Again, no personal information be posted on the Web Site.
Submission of forms over the Internet has become unreliable in Microsoft Internet Explorer and in some of the more obscure browsers. Thank you Bill Gates. We will work on a fix. In the meantime, if you are unable to successfully "Submit", please feel free to print the form, or fill it out by hand, and fax it to 815-425-0277 (a secure fax - no header needed) or send it by US Mail to: NCHS Class of 1965, 840 Dartmoor Drive, Crystal Lake, IL 60014.
Questions? E-mail us at
nchs65@ameritech.net
or
committee@nchs.org
at any time.
Your Name:
Today's Date:
Address:
City:
State:
Illinois
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Zip:
Phone:
EMail/URL:
Info to include in the Reunion Book: (Type as much as you want, it will fit.)
Any Other Comments:
Permission to forward E-Mail?:
Yes.
No.
Please Contact Me.
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Class of '65 Home Page