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Archived from http://www.antioch-college.edu:80/Alumni/reunion/2003/images/REG2003.PDF via the Internet Archive Wayback Machine (captured 2003-05-03).
Today’s Date: _____________ Name (Last) (First) (Last name while at Antioch) (Class Year) Spouse/Partner (Last) (First) (Last name while at Antioch) (Class Year) Address (Street) (City (State) (Zip) T elephone (Daytime) (Evening) (Fax) (E-Mail) Other Family Members Attending: __________________________________________ Please check all the roles that apply to you: Current Alumni Board Member Form…
