RMdB 4.1g - Missouri Independence

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Instructions - Add any values below. If you do not wish to have data displayed, then don't enter anything for that field (Do not use N/A or None - just leave blank). Select a userid and password below to gain access in the future to modify your profile and other information. If you have any questions, feel free to contact Gerald L. Cox. Thank you.

Title

Last Name
(in the mission)

First Name

Mission

When Served

Started:
Finished:

President

Select your primary mission president. You can add additional presidents (if you served under more than one), once your initial submission is complete.

Last Name (Now)

Spouse

Children

Photo

Photos greater than 99k will not be uploaded
Photo currently stored?: No

E-mail Address

Homepage

Occupation

(job, student, etc)

Work/School

Work/School Homepage

Current Address

Street:
City:	State: Zip Code:
Country:	Phone:

Permanent Address

Street:
City:	State: Zip Code:
Country:	Phone:

Cities and Companions

Other Comments

Choose a user ID:
Choose a password:

NOTICE: The administrator of this web site receives a copy of this data when submitted. The information is reviewed for content and if necessary edited or deleted. By clicking on the Submit button you agree to these terms. The terms of this database regarding submission or viewing of listing may be amended at any time without notification to any/all alumni.


RMdB Ver 4.1g - Copyright 2004 - Moonlight Design LLC. All Rights Reserved.