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St. Columbkille Alumni Association

25 Arlington Street

Brighton, MA 02135

(617) 783-4905


                         Form Page 15


If you are not receiving our news letter and would like to, please call or write us with your current name, address and the year in which you graduated or you can register by filling out the form below. We will be sure to include you in our next mailing of "The Spirit". Please do not forget your email address. :

 
Graduation Year
Your Full Name at Graduation
Your Current Last Name ( if different)
Your email address
Street address
City
State/Province
Zip/Postal code
Country
Phone
Person To Call if You are MIA (OPTIONAL)
phone (OPTIONAL)
email address