Alumni Update Information Form

Name:

Year Graduated:

Major:

Address:

City:

State:

Zip:

Phone:

Email:

Business Name:

Business Address:

City:

State:

Zip:

Business Email:

Title:

Spouse Name:

If spouse is alumnus, what year,major?

Children's Names/Ages:

Other Colleges/Universities Attended:

I would like to: (check all that apply)

Receive mailings from Middle Georgia College at my:

Home Address

Business Address

Receive email updates from Middle Georgia College at my:

Home Address

Business Address

Help to organize a reunion for my class

Host a MGC Crossroads Event in my area

Receive information on making a gift to Middle Georgia College

Share my latest news for inclusion in an upcoming alumni publication (births, deaths, marriages, promotions, etc.):

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