Update Contact Information

All information submitted on this form will only be used for purposes of keeping our records as up to date as possible. Completing this form does not add you to any mailing list, nor does it obligate you to purchase a product or service. No information will be sold or given to third parties. For your privacy, mailing addresses and telephone numbers WILL NOT be published on this website. Any new updated information that you want changed can be emailed to admin@jmhs68.com

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Your Maiden Name (if it applies):

Your Birthdate (mm/dd/yy):

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Your Name (As it should appear in our records):

* First

MI:

* Last

Your Mailing Address (or contact information):

(Will keep this private. We will not make this information available on our website.)

* Address:

* City:

* State

* Zip Code + 4:

* Country:

Your telephone number:

(Will keep private. We will not make this informaion available on our website.)

* Area Code:

* Phone Number:

Your Email Address:

(Do you want to reveal your email address to website visitors?)

Yes

No, do not reveal my email address, just update my record.

* Status:

Name of significant other:

* Are you interested in participating in Alumni activities?

Yes

No, I just want to keep in touch.

Any Other Comments:

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