| Yes! I want my e-mail address to be included in the Alumni Online Directory listed on the SIUE Alumni website. |
| Yes! I would like to receive occasional emails announcing new benefits and events. |
| Please update my information with the alumni office only. I do not want my name and e-mail address to appear on the Alumni Online Directory. |
2. Your Information | ||||||
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Maiden Name | ||||||
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SIUE Class Year(s) | ||||||
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3. Spouse Information | ||||||
| Yes! My spouse is an alumna/us. |
Last Name | ||||||
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Maiden Name | ||||||
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SIUE Class Year(s) | ||||||
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Address |
City |
State |
Country |
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Home Telephone |
Cell Phone |
5. Business Information |
Job Title |
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Address |
City |
State |
Zip Code |
Work Telephone |
6. Tell us your news |
