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Please Enter Your Name (as you wish it to appear on your business card)
   
 
 

Please indicate the team you are on (as on business card)
 
Student Marketing
 
Industry Marketing
 
Industry
 
Operations
 
Events and CMO
 
ILT Team
 
 
 
Enter your Title (as on business card)
   
 
 
 
City of rescidence in Summer 2005
   
 
 
 
City of rescidence in Fall 2005
   
 
 
 
Please enter home phone
   
 
 
 
Plese enter work phone (optional)
   
 
 
 
Please enter cell phone (as on business card)
   
 
 
 
Please enter permanent postal address
   
 
 
 
Please enter personal email address
   
 
 
 
Please enter your MSN contact
   
 
 
 
Please enter your birthday
   
 
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