FALL 2011 - Lake Erie College

I N T O U C H W I T H L A K E E R I E C O L L E G E
I do not want my information to be included in the LAKE ERIE magazine.
This is new information
This is updated information
THIS IS NEW INFORMATION
Help us keep our records
up-to-date and allow us
to share your information
with the LEC family. Send
this form to:
Lake Erie College
NAME last name/first/middle/maiden
CLASS YEAR
DEGREE
BIRTH DATE
Office of Alumni Relations
391 W. Washington St.
SPOUSE last name/first/middle/maiden
CLASS YEAR
(if from LEC)
DEGREE
(if from LEC)
BIRTH DATE
Painesville, Oh 44077
or you can reach us at:
HOME ADDRESS number/street/apartment/city/state/zip
TELEPHONE
E-MAIL ADDRESS
@
LECalumni@lec.edu
440.375.7253
You also may update
THIS IS NEW INFORMATION
your information
online at:
OCCUPATION title
EMPLOYER full name
www.lec.edu/alumni
ADDRESS number/street/apartment/city/state/zip
TELEPHONE/E-MAIL ADDRESS
Pictures are welcome!
They will be used at
SPOUSE’S OCCUPATION title
SPOUSE’S EMPLOYER full name
the discretion of the
magazine staff, if
SPOUSE’S ADDRESS number/street/apartment/city/state/zip
SPOUSE’S TELEPHONE/E-MAIL ADDRESS
space allows. Pictures
can also be sent via
BIRTH ANNOUNCEMENT
THIS IS NEW INFORMATION
email to
LECalumni@lec.edu
Child’s Name
MALE FEMALE DOB:
month/day/year
Sibling’s Name
MALE FEMALE DOB:
month/day/year
Sibling’s Name
MARRIAGE ANNOUNCEMENT
MALE FEMALE DOB:
month/day/year
DATE OF MARRIAGE
HONOR OR ACHIEVEMENT
RECENT HONOR OR ACHIEVEMENT
ALUMNI RECOGNITION
MY NOMINATION FOR NATIONAL ALUMNI BOARD
MY NOMINATION FOR ATHLETIC HALL OF FAME OR DISTINGUISHED ALUMNI AWARD
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