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Maiden Name:
Home Address:
Home Phone:
Marital Status:
Spouse's/Significant Other's Name:
Is Spouse A WR Grad?/What Year?:
Children/Their Ages:
Home Page URL:
High School Activites/Groups:
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Community Organizations/Groups You Belong To:
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Please feel free to include any other information you like!
Bernice Walton
PO Box 23
Put-in-Bay, OH.
43456
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