Name: ________________________________________________________________________
Spouse's Name (for name tag)
___________________________________________________ (include wife's maiden name)
Address: ______________________________________________________________________
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Phone Number: ______________________ E-mail address: _________________________
How many children? ____ Grandchildren? ____ Great grandchildren (yikes!) ____
Education/Career Highlights:
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Highlights of Community Service/Honors:
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Hobbies/Favorite Pastimes:
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Favorite Memory or School Story of Growing up in Mt. Brook/Crestline
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Return to M.D. Smith, 307 Clinton Avenue, Suite 100, Huntsville, AL 35801
256 536 8521, ext 103 - - - email mdsmith@hiwaay.net
To email, you will have to print the form, then compose an email with the info on it you want us to have to put in the scrapbook.