Medical Development

Register for Reunion ’08

Registration due date is August 14. Cancellations and full refunds will be honored through September 5. Refunds cannot be processed after this date.

* Required

Personal Information:
First Name	*
Last Name	*
Please type your name as you would like it to appear on your nametag
Class Year	* (4-digits)
Medical Specialty	*
Email Address	*
Home Contact Information:
Street Address	*
City	*
State
Zip Code	*
Phone	*
Confirmation Information: Reunion confirmations will be mailed in late August. Please provide an address at which we can reach you then.	Same as Above
Street Address
City
State
Zip Code
Phone
Spouse/Guest Information:
Name (please type Spouse/Guest name as it is to appear on their nametag):
If you wish to bring additional guests, please contact Alison Pereida Knapp at (734) 998-7970 or medevents@umich.edu.

Contact List

I consent to including the above information in the Contact List that will be shared with Reunion participants.

Address

Phone Number

Email address

To share your contact information with all U-M Medical School alumni and to find your classmates, visit the Online Alumni Directory.