Name:


Maiden Name:


E-Mail Address:


Alternate E-Mail:


Are you currently on our Alumni E-mail Listing?
No Yes

Street Address:



City, State, Zip:


Telephone

Home: Work: Fax:

How did you find out about the Midnight Sun Online website?


Do you have a personal or business website that you'd like us to list on the Peary/MSO
site?  If so, enter the URL:


If you entered your website above, what is the nature of your website?


Your Birthday (month and day only):


Your Occupation:


Spouse/Significant's Name:
Spouse Significant


Spouse/Significant's Occupation:


Family Statistics
Children's Names and Ages:


Grandchildren's Names and Ages:


When would you like to have the next reunion?
As soon as possible! Whenever Discontinue

Do you want your address listed in the next reunion booklet?
Undecided Yes No

Would you consider placing an advertisement in the reunion booklet?
Undecided Yes No

Would you be interested in purchasing a reunion booklet, if you could not attend the reunion?
Undecided Yes No

Are you interested in a reunion picnic?
Undecided Yes No

Would you need hotel accomodations for the reunion?
Undecided Yes No

What high school incidents stand out most in your mind?


What have you been doing since graduating from Peary?


Future plans:


What faculty member(s) do you remember the best and why:


Any information you can give us on any missing people would be greatly appreciated, even if it
is only a city, married name, place of employment, phone number or spouse's name. Please
share with us any information you may have on 1963 missing alumni.  Also include here,
your siblings and their grad years.


Any further Comments/Notes/News?




Note: We reserve the right to edit the information received on this questionnaire. We will utilize your name and most current address in any reunion booklet in the event you do not return the questionnaire.