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<!DOCTYPE HTML PUBLIC "-//IETF//DTD HTML//EN">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<meta name="GENERATOR" content="Microsoft FrontPage 3.0">
<title>Watchung Hills Alumni Input Form</title>
</head>
<body text="#000080" bgcolor="#FFFFFF">
<p align="center"><font size="4" face="Verdana" color="#000080"><strong>Watchung Hills
Alumni Input Form</strong></font></p>
<div align="center"><center>
<table border="4" cellspacing="0" cellpadding="4">
<tr>
<td><font face="Verdana">Click on Icon to see Alumni listings</font></td>
<td><a href="Alumni%20Data.htm"><img src="testpage/alumni.gif" alt="alumni.gif (869 bytes)" WIDTH="125" HEIGHT="33"></a></td>
</tr>
</table>
</center></div>
<p><font face="Verdana" color="#000080">If you would like to be included in our alumni
database, <br>
please fill out this form and submit.&nbsp; We will be generating<br>
a searchable database from all the data submitted.&nbsp; You <br>
can always reach the Alumni Association by snail mail to the <br>
school for more immediate response to your inquiries.</font></p>
<p>&nbsp;</p>
<form method="POST" name="alumniin" action="_vti_bin/shtml.dll/alumniin.htm" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE" S-Email-Format="TEXT/PRE" S-Email-Address="jabella@warrior.whrhs.org" B-Email-Label-Fields="TRUE" S-Builtin-Fields startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --><input type="hidden" name="recipient" value="jabella@warrior.whrhs.org"><div align="left"><table border="0" width="468">
<tr>
<td width="113"><font face="Verdana" color="#000080">Name:</font></td>
<td width="477"><font face="Verdana" color="#000080"><input type="text" size="35" name="name"></font></td>
</tr>
<tr>
<td width="113"><font face="Verdana" color="#000080">Maiden Name:</font></td>
<td width="477"><font face="Verdana" color="#000080"><input type="text" size="25" name="maiden"></font></td>
</tr>
<tr>
<td width="113"><font face="Verdana" color="#000080">Address:</font></td>
<td width="477"><font face="Verdana" color="#000080"><input type="text" size="35" name="address1"></font></td>
</tr>
<tr>
<td width="113"></td>
<td width="477"><font face="Verdana" color="#000080"><input type="text" size="35" name="address2"></font></td>
</tr>
<tr>
<td width="113"><font face="Verdana" color="#000080">Year of Graduation:</font></td>
<td width="477"><font face="Verdana" color="#000080"><input type="text" size="6" name="yog"></font></td>
</tr>
<tr>
<td width="113"><font face="Verdana" color="#000080">Post HS Education:</font></td>
<td width="477"><font face="Verdana" color="#000080"><input type="text" size="20" name="posths"></font></td>
</tr>
<tr>
<td width="113"><font face="Verdana" color="#000080">Occupation:</font></td>
<td width="477"><font face="Verdana" color="#000080"><input type="text" size="20" name="occupation"></font></td>
</tr>
<tr>
<td width="113"><font face="Verdana" color="#000080">email: </font></td>
<td width="477"><font face="Verdana" color="#000080"><input type="text" size="38" name="email"></font></td>
</tr>
<tr>
<td width="113"><font face="Verdana" color="#000080">Phone:</font></td>
<td width="477"><font face="Verdana" color="#000080"><input type="text" size="20" name="phone"></font></td>
</tr>
<tr>
<td width="113"><font face="Verdana" color="#000080">Comments:</font></td>
<td width="477"><font face="Verdana" color="#000080"><textarea name="comments" rows="4" cols="36"></textarea></font></td>
</tr>
<tr>
<td width="113"></td>
<td width="477"></td>
</tr>
<tr>
<td width="113"><font face="Verdana" color="#000080"><input type="submit" name="submit" value="Submit"><input type="reset" name="B2" value="Reset"></font></td>
<td width="477"></td>
</tr>
</table>
</div>
</form>
<p align="left">&nbsp;</p>
<hr>
</body>
</html>