Department of Geology
Fourteenth Annual Report
September 2000

Alumni Information Sheet
(Please print and return this sheet even if you think we have your current information.)

Name: _____________________________________________________________


Home
Address: _____________________________________________________________

_____________________________________________________________

Telephone: ______________________________________ Class: _____________


Business
Address: _____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Telephone: ___________________________ fax (or e-mail): ____________________

Occupation: _____________________________________________________________

Title: _____________________________________________________________
(or attach business card)

If your occupation is related to the field of geology, please check one or more of the following:

_____ Petroleum
_____ Teaching
_____ Minerals
_____ Government Survey
_____ Other Energy
_____ Environmental
_____ Engineering Geology
_____ Student
_____ Hydrogeology or Hydrology
_____ Other (please explain) ________________________

Thanks for responding to this request.

Please print out this sheet and return it to us . . . even if you have recently been in touch with us. We look forward to hearing from you!

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