Address:

City: State: Zip:

Phone #:

E-Mail: Post E-mail address on Web? Yes No

Graduation Year: Instrument/Equipment:

Office Held/Year Occupation:

Are you married? Yes No

Do you have children? Yes No

Is there a friend we can help you find? (If so, please provide your friend's name and year of graduation):

Would you be willing to discuss your profession with a current band
member interested in the same career? Yes No

If you are in the Norwin area, would you be willing to act as a greeter
at alumni events? Yes No

Are there any special memories you would like to add to The Archives?

Any other comments?