RETIREE BIO DINNER PROGRAM QUESTIONNAIRE
Please Note: This information is necessary to properly compose the Dinner
Program Bio. Please keep in mind, that you will have an opportunity to stand
up and say a few words at the dinner. Please try to keep it short, and please,
please do not use this time as a forum to vent your displeasure with any
particular person or group.This is a celebration of your hard work and an
evening of fun and laughs. Let’s keep it in that vein.
Thank You in advance for your cooperation and enjoy YOUR NIGHT !!!
First name *
Your answer
Middle initial
Your answer
Last name *
Your answer
Nickname
Your answer
Spouse's name *
Your answer
Spouse's nickname
Your answer
Primary street address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Phone number *
Your answer
Email address *
Your answer
Fax number
Your answer
Employee Number *
Your answer
Retirement date (actual or planned) *
MM
/
DD
/
YYYY
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