AXO Alumni Address Database Form

Personal Information
First and Last Name:

Maiden Name:

(if applicable)

Pledge Class:

(F'90, S'89, etc.)

Graduation Year:

(if applicable)

Contact Information
Street Address:

Apartment #: 

(if applicable)
City, State, Zip:
Phone:
E-mail Address:

(AXO will never use your information for anything other than AXO correspondence. We do everything we can to prevent spam and will never sell your address.)

 

Would you like to receive the AXO Online Newsletter?

Yes No

(Currently AXO is sending out an online version, along with a hardcopy distributed by SUNY Canton once a semester.)

 

Would you like to be included in the E-mail database available on our web site?

Yes No

 

SUNY Canton hosts Alumni Reunions all over the country on an annual basis. Would you like to be a representative for your area?

Yes No Maybe, tell me more.

 

Enter any other information you would like to share?