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Name ___________________________________________________________________________________ First Middle Last Maiden Class year__________ ( ) Bachelor’s degree ( ) Master’s degree Major______________________ Spouse__________________________________________________________________________________ First Middle Last Maiden UNCW graduate ( ) No ( ) Yes Class year/degree/major_ ____________________________________ Street address____________________________________________________________________________ City/State/ZIP_____________________________________________________________________________ Phone (C)___________________ Phone (W)____________________ Phone (H)_______________________ E-mail___________________________________________________________________________________ Employer______________________________ Position_ __________________________________________ Spouse’s employer (if UNCW grad)____________ Position___________________________________________ News/promotion/honors____________________________________________________________________ Marriage: Date of marriage_______________________________________ (Do not send prior to marriage) Birth: (
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) Daughter Child’s name___________________________ Date of birth_____________