CORDOVA HIGH SCHOOL ALUMNI ASSOCIATION
CONTACT INFORMATION

FULL NAME :
MAIDEN NAME :
GRADUATION YEAR :
STREET ADDRESS:
MAILING ADDRESS: (If different from street address)
CITY:
STATE:
ZIP CODE:
HOME PHONE:
CELL PHONE:
PRIMARY EMAIL:
SECONDARY EMAIL:
ARE YOU ON FACEBOOK? Yes No
FACEBOOK PROFILE NAME :
FACEBOOK EMAIL ADDRESS:

WOULD YOU BE INTERESTED IN HELPING ON OUR CHSAA COMMITTEE? (Wendy Reed, CEO, will contact you to see what you'd like to help with) Yes No OK TO RELEASE CONTACT INFORMATION TO CLASSMATES? Yes No