SURVEY (Please print this form out and mail to: Priscilla (Green) Lisiecki Return no later than April 1st, 2002 P. O. Box 210521, Milwaukee, WI 53221 ) Please print or type form. 1. Last Name in School: _____________ First Name and Middle Initial: ______________ Current Last Name: _______________ Spouse's Name: ________________ 2. Birth Date _____________ 3. StreetAddress_____________________________________________________ City & State ______________________________Zip_____Phone#__________ Distance from Washington High School in miles? __________ 4. Email Address: ___________________________________________ 5.. Martial Status: Single___ Married___ 6. Number of children_____ Number of grandchildren_____ Number of Great grandchildren____ Present occupation or are you retired from what occupation? __________________________________________________ 7. Present occupation or are you retired from what occupation? ___________________________________________________ 8. What are your plans after retirement?__________________________________ 9. Current hobbies or interests?_________________________________________ 10. Did you serve in the Armed Forces?___________________________________   Please complete as soon as possible and return to: Priscilla (Green) Lisiecki Return no later than April 1st, 2002 P. O. Box 210521, Milwaukee, WI 53221 Questions to: Jane (Harris) Gilbert 1-262-628-3117 Email= jdgil189@cs.com Suzanne (Schleifer) Banerian 1-262-968-2753 Email=martysue@execpc.com Priscilla’s email=Priscilla.lisiecki@basco.com Please check one of the following: _____ Attending with a spouse or a friend $100.00 _____ Attending alone $50.00 _____ Sorry, I can’t attend, but please send me a Reunion Booklet $10.00 _____ Sorry, I can’t attend. Here is my survey. PLEASE MAKE CHECKS PAYABLE TO "1962 W.H.S. REUNION COMMITTEE".