Please fill out the following information completely and accurately. Don't forget to click on "submit" at the end of the form. Use this form for any additions or changes. You only need to fill in the information that has changed.

                         

First name:	(required)
Last name in 1959:	(required)
Married name if different:
Address:
Care of:
City, State, zip:
Home phone:
Work phone:
Fax:
Pager:
Cell phone:
E-mail:	(required)
Personal Web page:

Biographical sketch: 

Personal information: (Family information, i.e., children [include married names], grandchildren, marital status, hobbies, pets, etc.)
 

Professional information: (current position, previous experience, education, etc.)

Miscellaneous: (Any other information you would like to share, etc.)

In addition, please send a current photograph to Linda at:

        Linda@OHS59.com  or,

 Linda (Stewart) Shaffer
5310 Hannah Drive
Odessa, TX 79762
(432) 366-4611 H
(214) 850-8122 C


ps  If you were not in the annual, please include a picture taken about 1959.