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Make donation check payable to:
Ilion All-Class Reunion
To make a donation, please print out this form, complete it and return the form with your check to: |
Ilion All-Class Reunion c/o Mrs. Lois Manley 94 Otsego Street Ilion, NY 13357 |
| Class Year | ___________ |
| Form of address |
Circle One Mr. Mrs. Ms. Rev. Dr. |
| Graduation Last Name | _______________________________________________ |
| Current Last Name | _______________________________________________ |
| First Name | _______________________________________________ |
| Apt./Street | _______________________________________________ |
| City and State | _______________________ ________________________ |
| Zip Code | __________ |
|
Phone Number (with area code) (optional) |
______ - _______- ___________ |
|
Email Address (optional) |
_______________________________________________ |
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Add my current address information to the Current Alumni Web Site Class Directory |
Circle one of these 3 choices below: Yes No The website Directory already contains my correct data |
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Include me on the list of Donors to be published on the Alumni web site |
Circle One Yes No |
|
Include my donation ammount on the list of Donors to be published on the Alumni web site |
Circle One Yes No Donation Amount $_______ |
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Created and maintained by Aileen Carney Sweeney - Class of 1974
Digital Image Copyright & Copyright © 1997 - 2014 ilionalumni.com
First Published October 2002
Modified Sept 5, 2014