Homecoming 2012 Registration

All College of Pharmacy events this year are FREE, but we ask you TO REGISTER so we can plan wisely.

If you must cancel, or you want to change your registration details, please let us know by email or phone. Thank you!

Our email: alumniaffairs@pharmacy.arizona.edu
Our phone: 520-626-3020

Can't attend this year but want to send a message or update your information? We can't send our alumni newsletter, Staying in Touch, if we don't have your email address. Please fill out our Alumni Update & News Form - thanks!

Name for Name Badge

Your name as it will appear on your name badge.

First Name: *

Last Name: *

Address:

City:

State:

Zip:

Email: *

Phone: *

Class Year:

Guest(s)

Please enter the full name of each guest you are bringing, for their name tag.

Guest 1:

Guest 2:

Guest 3:

Guest 4:

We plan to attend the following: (please select either Yes or No for each event)

Friday Afternoon Picchioni Tribute: *

Yes

Friday afternoon, Dr. Picchioni memorial tribute

Adult(s):

Friday Evening Reception: *

Yes

Adult(s):

Saturday Tent on the UA Mall: *

Yes

Adult(s):

Children:

Homecoming 2012 Registration

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