Parent Reception Registration

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Loyola College in Maryland:
Boston Alumni and Parent Reception
Thursday, April 10, 2008
6:30 - 8:30 p.m.
The Union Club of Boston

Thank you for your interest in Loyola's Boston Alumni and Parent Reception. Please complete the registration form found below and indicate the reception(s) you wish to attend.

Are you a(n)

Alumni

Current Parent

Accepted Student & Parents

Name «

Class Year

(If Alumni)

Address «

City «

State «

Zip Code «

Have You Listed a New Address «

[ Yes ] [ No ]

Day Phone «

Evening Phone «

Cell Phone «

Please Indicate Preferred Phone «

Day

Evening

Cell

E-Mail Address «

Guest(s) Names

Please indicate if guset is an alum, parent or accepted student, if applicable.

Comments

Fields marked with "«" are required.