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Please fill this form out and mail it in to:

Simsboro High School Alumni Association
P.O. Box 190
Simsboro, LA 71275-0190

YOUR NAME:_____________________________________________________(First, Mid., Maiden, Last)

YOUR ADDRESS:_____________________________________________________ (Street or P.O. Box)

CITY:_________________________________________

STATE:______________ZIPCODE:______________

EMAIL ADDRESS:____________________________

YOUR GRADUATION YEAR:______________

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