Name: ...(First).....
          ...(Last).......
Address:  .............
City: ....................
State:..................
Zip:.....................
CLASSIFICATION: ............... Freshman Sophomore Junior Senior CAU Graduate CAU Grad Student ITC Graduate ITC Grad Student Morehouse Graduate MSM Graduate MSM Grad Student MBC Graduate Spelman Graduate Other Graduate Student Faculty Staff
CLASS OF:.(1998..1999..2000, etc.).
SCHOOL: .......... Clark Atlanta University ITC Morehouse College Morehouse School of Medicine Morris Brown College Spelman College Other
GENDER ....Female   Male
BIRTHDAY ....Month... January February March April May June July August September October November December   Day... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
OCCUPATION:
Choose One... college/graduate student executive/managerial professional- doctor, lawyer, etc. academic/educator computer technical/engineering other technical/engineering service/customer support clerical/administrative sales/marketing tradesman/craftsman K-12 student homemaker self-employed/own company unemployed, looking for work retired

HomeTown:
(High School Hometown)

Select UserName...(6 to 10 chars)....@aucmail.com
E-mail Address .....
(Used for contacts and update to web site)

Class Mailing List..YES   NO
Please send e-mail for prizes, and special offers: ....YES   NO

Signup Code:
(Please indicate a code provided by your organization or representative if applicable)

Please note: This form submits your information to AUCmail.Com's database, designed particularly for contacts, updates, events, and matters pertaining to the web site and the AUC.
By clicking below you will be directed to our vendor's form page.  Although it may be a bit tedious, you must complete this to signup for the e-mail services.  Thank you.