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Name: 

Class Year:

Maiden Name:

Address:

City:

State:

Zip:

Home Phone:

Email Address:

Is this address posted on the Dana web site?

May we post it there for you?

Check here if any of the above is new.

Major/minor at Dana: 

Advanced degree(s) and where obtained:

Career information:

Hobbies, special interests or recognition:

A favorite memory of your time at Dana:

Spouse Name:

Is spouse a Dana alumna/us?

Yes   No

Class Year:

Children (List name and grade at the time of this Homecoming. If preschool age, list birthdate):

Other news you wish to share:

What are your plans for your reunion?

Plan to attend
Hope to be there
Can't attend, but here is my news
Can't attend, but wish to order a memory book (Send $5 for preparation and mailing to the Alumni Office, 2848 College Drive, Blair, NE 68008. Booklet will be mailed after Homecoming.)