Alumni Association

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2008 Alumni Weekend Memory Book Form

Even if you cannot attend, please complete this form and you will be sent a Memory Book after the Reunion.

Form must be submitted by April 18, 2008.

Fields that have arrows on the right side wll scroll automatically as you type.  There is no need to limit your comments to the size of the box as displayed.

Name
Class of
Home
Address
Telephone

E-mail

(A copy of your responses will be
sent to this address, if provided.)

Work
Address
Telephone E-mail
Family
Spouse
Children
(name/age/etc.)
Career
Residency/Fellowships
Professional
Position(s)
Current Job/Area(s)
of Emphasis
Life/Reflections
Interests/Hobbies
Travel Highlights
Favorite Memory
from Medical School
Words of Wisdom
Additional
Comments

Send a photo of yourself or you and your family.
Send an e-mail to amootz@mcw.edu and attach a digital photo (JPEG preferred) or mail your photo to:

MCW Office of Alumni Relations
8701 Watertown Plank Road
Milwaukee, WI  53226

Please note: mailed photos will not be returned.

 

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© 2007 Medical College of Wisconsin
Page Updated 06/25/2008