Del Reunion - Class of '73

Contact Information Form


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Use this form to provide (or change) your contact information.  Your information will be used to let you know about upcoming Del Reunion events and to contact you for the next big Del reunion. 

In addition, this form can be used to list all or some of your contact information on this Del Reunion Web Site. You may also add your name to our email list with this form. Please indicate your preferences below. 

If you want to remove all your contact information from the Contact Information Web Page select "yes" in the final field.

NOTE: The first three fields are required. Your request will be processed soon, probably in the next day or two.

First name: (required)

Last name: (required)
Email Address: (required)

Would you like your Email address to appear on the contact page?     Yes No

Do you want to be added to the Del Reunion Email List?     Yes No

Street Address:

City:

Province:

Country:

Postal code:

Would you like your Postal address to appear on the contact page?     Yes No

Or would you like just your city / province to appear with your info?     Yes No

Your URL or Web Page Address:

Would you like your URL to appear on the contact page?     Yes No
Home Phone Number:

Would you like this contact number to appear on the contact page?     Yes No
Work Phone Number:

Would you like this contact number to appear on the contact page?     Yes No
If you have any additional instructions or contact information, please add them below:

Would you like the above notes included on the contact page?     Yes No
Would you like all your Information removed from the contact page?     Yes No

Disclaimer: I respect your privacy. I will not sell or otherwise share
any of the information collected with any third-party.


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