Name:

Address:

City:

State:

Zip Code:

Home Phone: Business Phone:

Email:

Graduation Year:

Do you wish to be contacted about upcoming events?

Yes No

Do you wish to be contacted about upcoming volunteer activities?

Yes No

Preferred Method of Contact:

Phone Email Standard mail Web Site Postings No Contact

Do you want to become involved in a planning committee?

Yes No

Which days do you prefer events to be held?

Weekdays

Weekends

Afternoons

Evenings

Were you involved in any of the following organizations at Cal?