BHS Class of "62 Information Sheet


Name:____________________________________________

Street Address:____________________________________

City:______________________________________________

State:_______________ Zip:___________

Phone:_____________________________

Email Address(s)______________________________ or __________________________________

Personal Homepage URL:____________________________________________________________

Married Or Single:____________________________________

Spouse's Name:_____________________________________________________________________

Children and Grandchildren:_____________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Upper Adam School District teacher who had the biggest impact on you_________________________

Occupation/retired from/or just comments:








Please return to Ken Thomas - 1810 White Hall Road, Littlestown, PA 17340
(Print page out and mail to Ken or copy page and paste in email and email to – ken@thomasnetwork.net)

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