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Communication Preferences Form
Communication Preferences Form
First Name
*
Last Name
*
Last Name when attending U of G/U of GH (if different)
Email
*
Marital Status
Please select
Single
Married
Divorced
Widowed
Are you an alumnus/alumna?
*
Yes
No
Degree
*
Degree Year
*
Address
City
Province/Territory
Postal/Zip Code
Country
Home Phone
*
Mail Preferences
I wish to receive any mail
*
Yes
No
I wish to receive mail at a different address
Yes
No
Alternate Mailing Address
City
Province/Territory
Postal/Zip Code
Country
E-communications Preferences
I wish to receive the Alumni E-news
*
Yes
No
I wish to receive any electronic communications
Yes
No
I would prefer to receive e-mail at a different address
Affinity Program
I wish to be contacted by affinity partners
*
Yes
No
I wish to be contacted about Home and Auto Insurance
Yes
No
I wish to be contacted about Life Insurance
Yes
No
Solicitation preferences
I wish to be solicited
Yes
No
I wish to be solicited by mail
Yes
No
I wish to be solicited by email
Yes
No
Submit