Address Update Just enter first and last names and ONLY those entries that have changed. First Name Middle Name or Initial Last Name Spouse’s Name Address City State AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code Zip Plus Four E-Mail Phone Cell Phone Date Retired/Left Ozark mm / dd / yyyy Secondary Address Secondary City State AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code Zip Plus Four Secondary Phone Effective From Date mm / dd / yyyy Effective to Date mm / dd / yyyy Does this UPDATE include any recent changes to your address, phone, or email? Yes No Tell Us About Yourself The Silver Swallows Alumni newsletter is the glue and one of the largest contributing factor in keeping our Ozark family together. We ask that you please complete this section of the form. Here are just some of the many subjects that you may want to consider. Are you still working? If so, where? When are you planning to retire? When did you retire? Any Health problems? Loss of loved one that you wish to share? Relocations? Significant birthdays? Marriage? Do you live in different locations during different seasons? Did you attend any schools during the last year? Did you take a vacation last year? If you have a hobby, tell us about it. Do you own a business? Do you volunteer your time? Do you hold an elected office? How do you keep yourself physically fit? What do you do to keep yourself busy? What do you remember about Ozark? Tell us about some of your fond memories at Ozark. Any funny Ozark stories? If you have anything else of interest, tell us about it. Drag the lower right corner (dotted triangle) of the blue text box with your mouse to resize the text box. Members Only Website Membership Directory Approval The Privacy Act requires the organization to have a password protected website program allowing “Members Only” to have access to the web site’s membership address roster. Only members in “Good Standing” (dues paid) and have agreed to the following terms will have access rights to the “Members Only” section of the website. This information will not be sold, rented or shared. By selecting “I Agree” below, I authorize Ozark Silver Swallows, Inc. to include the above information on the Private “Members Only” Membership Address Directory page of the www.silverswallows.com website AND, I further agree not to let the membership names, addresses, phone numbers and e-mail address roster be used for business, charitable, political or any other purpose by me, my relatives or friends. I Agree I Do Not Agree I have read and understand the conditions above and authorize the sharing of my data. I agree not to share another member’s data. Selecting “I Agree” constitutes an e-signature on my part. Date of Authorization mm / dd / yyyy