Feedback& Contact Info
Leaders in Pharmacy, Brothers for Life
This form will be used to update Alpha Iota Alumni in our mailing lists and our email listserv. If you have any questions, comments or suggestions for this website or for any aspect of the alumni association please complete the comment section. You can (and we encourage you to) also use the comment section below to give updates on your family (marriages, births) and career news, or any other items that you would like to share with the brotherhood. We will be sure to include it in the next Alumni Newsletter. You will receive an automatic Thank You confirmation e-mail from the Alumni Association.
Subject:
PDC Website Feedback and Contact Info Response
Name:
DOB:
Address:
City:
State:
Zip:
E-Mail:
Add me to the Alumni Chapter e-Mail Listserve:
Yes
No
Home Phone:
Work Phone:
Year Graduated:
Year Pledged:
PDC Offices Held:
PDC Nickname:
Comments or Ideas:
The Information Submitted on this form will be sent electronically to
Brooke Boretski's E-mail Address
for purposes of updating our member database for contact information. We would like to thank you in advance for taking the time to complete this form and we will be sure to contact you in the future to keep you posted on up-coming events!
