Alumni of Color 2012 Reunion attendance form

YES! I plan to return to UW-Eau Claire Sept. 28-29 for Alumni of Color Reunion 2012! Please include my name, major and year of graduation, along with my favorite UW-Eau Claire memories, in the online Alumni of Color 2012 Attendance List.

Note: Please provide your address, phone number and e-mail address when submitting this form. This information WILL NOT be included in the online reunion 2012 Attendance List, but it will allow us to contact you with any questions about your form submission.

Name:

Maiden name, if applicable:

Year of UW-Eau Claire graduation:

Degree (e.g., B.A., M.S., M.S.T.):

UW-Eau Claire major:

Current street address:

City, state, ZIP:

Daytime phone:

Evening phone:

E-mail address:

Share your favorite UW-Eau Claire memories:

See you at Homecoming 2011!