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Susan Sage Heinzelman, Director 116 Inner Campus Dr Stop A4900, GEB 4.200C, Austin Texas 78712-1257 • 512-471-5765

Alumni News

This form can be used both for updating information in our alumni records and for submitting news to the alumni newsletter. All information submitted is confidential and will not be shared outside of the University. All fields are optional but we appreciate your effort to help us keep your information accurate and current.

Please verify your name and home address:

Name:

Address 1:

Address 2:

City:

State/Province:

ZIP / Postal Code:

Country:

Home Phone:

Email:

Yes, please publish my home address in the alumni notes of the next Newsletter
Yes, please publish my e-mail address in the alumni notes of the next Newsletter

We assume the answer is "No, do not publish" unless you state otherwise.

Please verify your work information:

Title:

Organization

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Address 2:

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ZIP / Postal Code:

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Preferred email address:

Enter your class notes for the Alumni Newsletter



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