Information Update Form

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› Information Update Form

Your Alumni Association wants to know where you are and what you are doing. Please use this form to update us about yourself or add your information to the upcoming issue of "Potsdam People."

Name (first, maiden, last):

Class Year:

Address:

City:

State:

Zip:

Phone:

Business Phone:

E-mail:

Yes, you may publish my E-mail address on your Web site.

Employer:

Position:

Employer's Address:

Family Information

Spouse/Partner's Full Name:

Is your Spouse/Partner a SUNY Alum? Yes No Class Year:

Spouse/Partner's Employer:

Spouse/Partner's Position:

Child's/Children's Name(s):

	M F
	M F
	M F

Birth date(s):

Additional College Education

College/University:

Degree(s) awarded and date:

Majors:

News for the Class Notes section of Potsdam People:

I would like to receive "Potsdam People" electronically. Please send me an e-mail reminder when the latest issue is available on the Alumni Web site. I realize that I will no longer have a printed copy mailed to me.

Please sign me up for a free lifetime E-mail account.

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