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Alumni Association Obituary Notification Form

Please complete this form to notify the Alumni Association of an alumni member's death. Questions? Call Marga Kellogg, Associate Editor, GIA Communications, at 760-603-4137.

(* these fields are required)
*Deceased Name   
Student Number   
*Date of Birth   
*Date of Death   
Career Highlights   
Cause of Death   
Mortuary Contact   
Survivors   
Memorial Contribution Information   
*Graduate/Chapter Affiliation   
 
Submitted by:
*Name   
*Address   
*Phone   
*E-mail   


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