Alumni

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Alumni Updates and Requests Form

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What do you wish to do?: (please check all that apply)
- Request your Alumni Membership Card
- Update your Contact Information
- Submit a class note for inclusion in Contact Magazine and Website
- Be added to the mail list
- Be added to the e-newsletter list
First Name:*
Middle Name:
Last Name:*
Maiden Name:
Address:*
City:*
State:*
Zip:*
Year of Graduation:
Primary Telephone:
Email:*
Spouse’s Name:
Spouse’s Year of Graduation:(if applicable)

Business Information

Name of Employer:
Business Title:
Address:
City:
State:
Zip:
Business Telephone:

Comments and/or information for the next issue of Contact, Fitchburg’s alumni magazine: