University of Wisconsin - La Crosse Alumni Association
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Deadline for our winter Alumnus issue is October 1st. Deadline for the summer issue is April 1st.

Required fields are in bold.

Name (First, Middle Initial, Last [maiden if applicable])  

Graduate

Parent

Friend of University

Class of (required for Graduate):

Area of interest (Majors, college, etc.)

Employer 

Street Address  

City  

State

Zip  

(check if new address)

Phone Number  

Email address

Spouse's Name (First, Middle Initial, Last (maiden if applicable))  

Spouse Class of (if UW-L alum)  

Spouse's Employer

Your Information

      

© 2007 UW-La Crosse Alumni Association | 615 East Ave. N., La Crosse, WI 54601 | Ph: 877.UWL.ALUM (877.895.2586) | Fax: 608.785.6868 | Email: alumni@uwlax.edu
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