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In memoriam submission

Please Complete Questionnaire Below!


DECEASED



Last Name


First (Given) Name(s)


Middle or Matronym


[Mr. Sr. Dr. etc.]

Ruston Association
-Student
-Faculty
-Friend

PLEASE CHECK APPROPRIATE



Years of association
[in format: 1920-1928]

Eulogy: [Please be reasonably brief]

Submitted by:

Last Name: First Name:



Email:


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