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E-Newsletter Information Form
Contact Information
Name
First Name
Last Name
Email
Verify Email
Phone
Permanant Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
I am a (check all that apply):
*
Alum of URI
Parent of a URI Student
Grandparent of a URI Student
Community Member
URI Faculty/Staff
Graduation Year
Spouse's Name
First Name
Last Name
Student's name
First Name
Last Name
Student's Graduation Year
Student's Phone
