<%@LANGUAGE="VBSCRIPT" %> EARJ - Class of 85 / Join

Class of '85 Member Form

Help us keep our database up to date.
Please, only fill this form if you were a member of the Class of '85,
even if you never graduated from EARJ.
To join the official EARJ Alumni Association database, PantherNet, please go here:
http://alumni.earj.com.br/cad_usu.asp

Due to circumstances beyond our control this online form was not functioning properly from 7/23/03 - 8/15/03. If you submitted this form between these dates, your information was lost. Please submit the form again.

Please select one
new listing update current listing
First Name
Middle Name
Last Name
Maiden Name
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Date of Birth (this will not appear on the site, it will be for our records only)
Place of Birth (this will not appear on the site, it will be for our records only)
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Street Address (this will not appear on the site, it will be for our records only)
Street Address 2 (this will not appear on the site, it will be for our records only)
City
State
Country
Zip Code (this will not appear on the site, it will be for our records only)
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Occupation
Company
Position

Home Telephone
Work Telephone
Fax
Email
Email 2
WWW 1
WWW 2
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Years at EARJ
When You Left EA
Most Memorable Experience at EA
What you did the summer after graduation.

Or:

What you did after leaving EA.
What have you been up to these past few years?
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Marital Status
Single Married Divorced Widowed
Spouse
Children
.
College/University attended
Other Comments
Enter the code exactly as you see it in the image:
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