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ST. MARY'S ALUMNI INFORMATION FORM

Please notify us when you have an address change.

Year Graduated from St. Mary's School

First Name Last Name Maiden Name

Address City

State Zip

Spouse

Children

E-Mail Occupation

Do you have any objections to sharing your address with former classmates? Yes No

If you are living away from the area, would you please give us the name and address of a relative or friend in the Pontiac area who would know your current address.

Name

Address City

State Zip

 

 

St. Mary's School * 414 North Main Street * Pontiac, IL 61764 * Phone (815) 844-6585 * Fax (815) 844-6987