05/30/08                                        WESTERN OREGON STATE COLLEGE                                         Page 1
                                                    Both Parents Contact Info                                          200603

Parent(s) Name                     Phone      Street Address                  City                  State     ZIP
------------------------------  ------------  ------------------------------  --------------------  -----  ----------
Wxxx Pxxxxx                503-838-xxxx  5xxx Wxxxxxx Rd                 Indxxxxxxnce          OR     97xx1
Axxxxxxxxxx Sxxxxx & Vxxxxx     503-792-xxxx  8xx Mxxxx St                    Gxxxxis               OR     97xx6