First Name
Last Name
Mr
Mrs
Ms
Dr
Rev
Other
If your name has changed, what is the Name we knew you by at LHS
First
Last
Your current mailing address:
(None of this information appears on the web site)
Street
City
State
Country
ZIP
Phone (H)
Phone (W)
Phone (M)
KEEP MY MAIL AND PHONE CONTACT INFORMATION PRIVATE
Checking this box will result in the omission of your contact information from the LHS 45th Reunion Booklet
Email
Retype Email
May we share your Email address with other Class of '65 Westerners
Yes
No
The information collected on this form will be used solely for the benefit of planning reunions and for members of the Lubbock High School Class of 1965. It will not be made available to any third parties.
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