WEST COAST (CA)

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When you click on "Submit ", the informations are sent to CLSUIAA, Inc Secretary - Rob T Bugawan.
(Unless otherwise permitted; Home Address, Phone Numbers and Email Address will no longer be posted in CLSUIAA website)

The informations you provide will help develop and maintain the CLSUIAA members database and to be used by CLSUIAA Committees for members only.

Member's Subscriptions and DataBase Form

Subscribe to the CLSUIAA E-mail list?	Yes No
HS and/or College Degree & Year Graduate
Connection with CLSU if not Alumnus (faculty, friends, etc)?
First Name
Middle Name
Last Name
Spouse's Name
Home Addresss
Phone No.
Email*	*required for this "scripted form" to be processed
Do you permit your other info posted to Members Page?	Yes No
Message and/or Comments

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