ALUMNI CONTACT INFORMATION FORM
for Miami Senior High Class of 64

We want to continue to be able to contact you for future events or information related to Miami Senior High Class of 64. In order to do so, we need to be sure that we have up to date contact information. The information will ONLY be used for communications specific to MHS Alumni. You will have the OPTION to have your information included in a directory listing that may periodically be made available to all Class of 1964 Alumni.
Please complete the form below to update your contact information.
Please note that to make it easier to manage updates, we ask that you enter ALL information that you wish to have included in the alumni database. Data entered here - or blank fields - will REPLACE what we currently have in our files.
Our primary means to contact alumni will be email, so please be sure to include your email address. Also, be sure to check whether or not you wish the information to be included in a directory listing.
ALUMNI CONTACT INFORMATION FORM
Class of 1964
YES, indicates that contact information provided may be included in an alumni directory to be published and distributed periodically.
NO, indicates that only your name, city, state and zip will be included in the directory.
optional
Title (Mr., Mrs., Ms., Dr....)
this is the Last name that people knew you by in High School, which may be the same now
Last Name as known in High School
First Name
Current Last Name
only enter if different from Last Name as known in High School (e.g. married name)
Street Address
Address (cont.)
City
State
Zip/Postal Code
Country
Home Phone
eg. 305-111-2222 for US phone numbers
Cell/Work Phone
eg. 305-111-2222 for US phone numbers
E-mail
specify Fax if appropriate (e.g. fax 305-444-9999 for US phone numbers)
Alternate phone or email
Please note this information will REPLACE any currently in our records; so blank fields may overlay current content.
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