York College of Pennsylvania

Alumni & Friends

Submit Information For Publication

(* Required Fields)

Name:*
Class Year:*
Social Security Number:*
Current Mailing Address:*
Home phone number:*
Employer:
Business Address:
Title:
E-Mail address:*
*Benchmark information announcement for:*
*Birth ~*	Boy Girl (please select one)
Your Name:
Child's Name:
Date of Birth:
Additional Children (please include birthdates):
Spouse name:
Is your spouse an alumnus/a?	Yes No
If so, what year did he/she graduate?
*Marriage ~*
Wife's maiden name:
Husband's full name:
Date of Ceremony:
Are both spouses alumni?	Yes No
If so, please provide your class years:	Wife Husband
Additional news we should know:
Please keep the following items confidential:
Send a new alumni membership card:	Yes No

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