ALUMNI UPDATE FORM
First Name
Middle Initial
Last Name
Degree
School
Year of Graduation
Date of Birth
*
E-mail
Spouses Name
Children & Ages
Company
Business Phone
Position
Fax
Home Phone
Cellular Phone
*
Prefered e-mail Address
Brief Bio for Website
Date:
Please fill out and send to
info@pennalumnipanama.com
or Fax 236-5775
WE INVITE YOU TO JOIN OUR CLUB - DUES ARE $100 PER CALENDAR YEAR ($25) FOR RECENT GRADUATES (UP TO 3 YEARS OF DEGREE DATE)
NEXT ACTIVITY FOR MEMBERS: JOIN MIXER WITH HARVARD ALUMNI CLUB IN MAY 2008
