Mini Annual Information Sheet

Now Playing - Everyday People by Sly & The Family Stone

Before you fill out the information sheet and click on the Submit button, if you need a copy of the invitation click on this Invitation Link first. This will open a dialog window from which you can either open the document or save it to a file. Once you've done that close the invitation window which should put you back to this window and then continue filling in the form and click on the Submit button to finish the process. If you have any problems or question please send an email to suhi1975@whinery.com.

Please provide the following contact information :

Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

E-mail

Spouse's Name :

Children (How many, names, age) :

Grandchildren (How many, names, age) :

Funniest thing you remember from school? :

Most embarrassing moment? :

Most memorable moment? :

Biggest Accomplishment? :

Biggest Regret? :

What was your best job? :

What is/was your dream job? :

Favorite Teacher? :

What’s one thing on your “Bucket List”? :

Did you have a secret High School crush? Who? :

One thing nobody knew about you? :

Return

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

Author: John Whinery Jr.Copyright © 1999, 2000, 2010 - Whinery & Associates. All rights reserved. Revised: March 23, 2011

Author: John Whinery Jr.
Copyright © 1999, 2000, 2010 - Whinery & Associates. All rights reserved.
Revised: March 23, 2011