Address Update Form

Please help us to keep the family together and informed. We need your name, address, phone number, and names and birthdays of your family members. This will help the secretary to keep the family records up to date. This includes all cousins, etc.

Thank you,
The planning committee Chairman,
Vern L. Wells

Your Name (required)

Your Street (required)

Your City (required)

Your State (required)

Your Zip (required)

Your Email (required)

Your Phone (required)

Your Family Members Names and Birthdays

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