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Alumni Information Update

Use this form to update your records at TLU and to submit information for inclusion in the Torch magazine.

Personal Information

First Name:
Middle Name:
Last Name:
Nickname:
Maiden Name:
TLC / TLU class year:
Address:
Address (cont.):
City:        State:  
Zip Code:
Home Phone:
Work Phone:
Fax:
E-mail Address:
Include my e-mail address in the on-line directory:  Yes   No
Soc Sec # (ex: 999999999):
I'm a member of Thrivent  Yes   No
 

Employment Information

Employer:
My company will match my gifts to TLU:  Yes   No
Job Title:
Employer Address:
Address (cont.):
City:        State:  
Zip Code:

Marital Information

Marital Status:    Single   Married   Divorced   Widow(er)
Spouse's First Name:
Spouse's Last Name:
Spouse's Maiden Name:
Spouse is a TLC / TLU graduate:
 Yes   No
Spouse's Employer:
My company will match my gifts to TLU:  Yes   No
Spouse's Job Title:
Spouse's Employer Address:
Address (cont.):
City:        State:  
Zip Code:

Other Information

Please include any additional information about you or any information to be included in the next edition of the Torch magazine:
 
Please click "Submit" only once. If you have problems with this form, e-mail us.
    

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