M-RH Class of 1969 Classmate Survey
If you are having trouble with our submittable online form, please print this page, complete, and
snail-mail to:
M-RH Class of 1969
c/o
Pat Kramer
6759 Nashville Ave.
St. Louis, MO 63139
First Name:
___________________
Last Name:
___________________
Maiden Name:___________________
Spouse/Partner's First Name:___________________
Spouse/Partner's Last Name:___________________
Years You Attended M-RH (e.g. 1965-69):___________________
Street Address:______________________________________
Apt/Unit #:
___________________
City, State, ZIP:
______________________________________
Country (if not US):___________________
Home Phone: ___________________ Cell Phone:___________________
Email Address:
___________________
Personal Website:___________________
Occupation:___________________ Employer: ___________________
Please tell us what you've been doing since graduation. Family, careers, travel, anything you'd like to share:
_________________________________________________________
_________________________________________________________
_________________________________________________________
Tell us your favorite memory or memories from high school:
_________________________________________________________
_________________________________________________________
_________________________________________________________
Do you plan to attend our 45th Reunion in 2014 ? Yes No
If Yes, please check any of the following items that you might be willing to help with:
Contacting classmates:
Providing goods or services such as flowers, printing, music or decorations:
Helping to decorate:
If you checked any of the above boxes, please elaborate:
_________________________________________________________
_________________________________________________________
Do you have any contact information for any of our classmates?
If so, please provide it:
_________________________________________________________
_________________________________________________________
Do you know of any of our classmates who have died? If so, please provide those names:
_________________________________________________________
To print only the Survey portion, select it, then go to File, then Print from your browser window, and check Selection.

