LI Class of 1962 - Order ID

Order a Login ID and Password
Class of 1962 Web Site

You may complete this form online and submit it. When done, you must click the SUBMIT button at the bottom. You may also print this page and send it to me: Gloria Buck, PO Box 146, Morrisville, VT 05661. Your Login ID and Password will be emailed to you. The information collected in this form will not be used on this web site, will not be stored online, and will not be given out to third parties. The information is solely for the purpose of insuring that you are affiliated with the Class of 1962, and if you are a member of the Class of 1962, to keep our mailing list up to date for future reunions!

Please include the following information (*required fields):

*Last Name:

*First Name:

Maiden Name:

*Address:

*City:	*State:	*Zip: Zip+4:	Country:

*Phone Number:

*Email Address:

Your affiliation with the Class of 1962:
Classmate
Other Alumni Year Graduated
Present Faculty
Former Faculty
Other ... If Other, explain affiliation: