Lastiwka Contact Information

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Lastiwka Contact Information

We are planning for our 40th Anniversary and would like to be in contact with our alumni and current members. Please fill out this form so we can send you an invitation and keep in touch. One form per person please.

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Email *

Your email

First name
*

Your answer

Last name (maiden name if applicable)
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Your answer

Phone number
*

Your answer

I consent to Lastiwka collecting my information.
*

Yes

I give permission for Lastiwka to reach out to me from time to time. *

Yes

Years in Lastiwka (ex: 1985-1991, 2005-present)
*

Your answer

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