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Name:

Affiliation with BU:

Preferred School or College (if applicable):

Class Year (if applicable) :

Gender:

Age:

Industry you work in:

Number of years you have lived in the Twin Cities:

Number of BU events you have attended in the past year:

Number of BU Alumni you keep in touch with in the Twin Cities:

Please check the topics that are of interest to you:

Amount you are willing to pay to attend BU alumni events in the Twin Cities:

Additional Comments: