Class of 1983 - 40th Reunion Questionnaire
Please use this form to submit your news for a class newsletter. The WMAA will EMAIL completed newsletters following the class reunion. Be sure to include your email below to receive the newsletter.
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Name *
Email *
Address
Primary Phone number
Employer
Work Address
Work Phone
Residency/fellowship location, specialty and year completed
Spouse/Partner's Name
Children/Grandchildren
Professional activities you would like to share with classmates
Hobbies/Interests/Travel
Any other news you wish to share
Consent to share information: *
I would like to get involved in the following ways:
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