Ainsworth Class of 1967

Please complete the form below.  The plans are to update this website with current photo's and a little history about each of us.  The current information and bio's will be linked to our Senior pictures.  For those who did not attend the 35th Reunion Weekend, you missed a great time.  I would still like you to complete the form, and if you have a current photo, either scan it and e-mail to me at  burhans2008@sbcglobal.net  or mail it to me at: Pat Lince-Burhans, 1272 Pickwick Place, Flint, MI  48507, and complete the form.  

LAST  NAME    MAIDEN

MARRIED           YES    NO     SPOUSE'S NAME

Any Children?    Yes        No     Names & Ages      


Any Grandchildren?  Yes      No      NAMES & AGES  

State you live in?  

Occupation? 

Your plans for the next five years? 

Tell us something about yourself    

E-Mail Address     Do you want it included on your web site Bio?  Yes    No

Do you have a web site, if so what is the URL?        If so, do you want it added to your web site Bio?  Yes  No


                                 

 

   

Created by Patricia Lince-Burhans for Ainsworth class of 1967 Copyright © 2002 [Alumni Ainsworth 1967]. All rights reserved. Revised: October 07, 2002   2nd Revision March 3, 2008