Individual to Add or Update; First Name
Middle
Last
Add
Correct
Update (If this is a correction or update,
you need only fill out that information.)
Date of Birth
City
State
Country
Mothers' Maiden Name
Fathers' Name
Married to
Date of Marriage
Place of Marriage
Date of Divorce
Date of Death
City
State
Country
Place of Internment
Street Address
Add'l Address
City
State
Country
Zip
Day Phone
Evening Phone
Other Phone
eMail
Place of Work/School
In Emergency Contact Name
Phone
Your Name
Your eMail
Many thanks on behalf of all Nalvens everywhere.
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