Update Your Address

First Name

Middle Initial

Last Name

Prefer to Be Called

E-mail Address

Do you want to volunteer for the 2009/2010 year? *

	I wish to continue involvement with Susquehanna's Alumni-Parent Admissions Network (APAN).
	I am not able to participate in APAN for this year but I may be interested in the future. Please contact me again for next year.

Contact Information (required only for changes)

Are you an SU alum?

Yes

Your Class Year

Are you an SU parent?

Yes

Name and Grad Year of SU Student

Home Phone Number

Home Street Address

Home City

Home State

Home Zip Code

Employer

Job Title

Work Phone Number

Work Street Address

Work City

Work State

Work Zip Code

Additional Comments or Information

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