Registration Form - AAUC Events

It Starts Here - A Conversation with
UC Senior Vice President - University Affairs Bruce Darling
September 26, 2002 - Fresno CA

RSVP deadline: September 18, 2002
* - indicates required field

E-mail*

Name*

Street Address*

Address (cont.)

City*

State*

Zip/Postal Code*

Daytime Phone*

UC Campus Attended*

Graduation Year

UC Alumni Association Member Number

Number attending:

Total amount due:

Alumni Association Members: Free
Non-Members & Guests: $10

PAYMENT METHOD:

	Check	Please make check payable to UC Regents and mail by September 18, 2002 to: UCOP Alumni Affairs attn: AAUC-Fresno 1111 Franklin Street 9th Floor Oakland, CA 94607-5200
	Visa		Mastercard		American Express

IF PAYING BY CREDIT CARD PLEASE NOTE, THIS IS NOT A SECURE SITE. If you do not feel comfortable providing the following information via the Web site, please call 510.987.9145 or fax payment information to Attn: AAUC Fresno 510.987.9181.

REQUIRED for credit card transactions

Name as it appears
on credit card:

Billing Address:

City:

State:

Zip/Postal Code:

Credit Card Number:
(Please use all of the numbers printed on the back of the card. It includes the three-digit bank number.

Card expiration date:

Please note special accommodation(s) to be made

Comments

CANCELLATION POLICY: Written notice of your cancellation must be received 48 hours prior to the event. It may be sent by email to events@ucop.edu or by fax to 510.987.9181.

For problems associated with the use of this form, please email Sherilee.Aragon@ucop.edu

Contact:
UC Office of the President
James Stofan, Director of Alumni Affairs
(510) 987-9184
james.stofan@ucop.edu