Medical Class Year: (1959, 1969, 1979, 1984, 1989, 1999)

Name:

Email Address:

1. I prefer the class reunion to be: One day event Two day event
2. If it is a one day event, I prefer it to be on: Friday Saturday
3. I prefer the agenda for the Medical Reunion to include:
   • Alumni lunch with Vice Chancellor/Dean update of campus
   • Tour of campus
   • Golf tournament
   • Casual family supper (children included too) - all classes
   • Class picnic/luncheon (your class only - spouses and children)
   • Cocktail reception with individual class dinners
   • Event with local attraction
4. Would you enjoy dinner and dancing with a band one night? Yes No
5. Would you attend a CE course, if offered on general medicine issues? Yes No
   If yes, do you prefer: Friday Saturday
6. When is the best time for a reunion? Fall Spring Summer
7. Would you enjoy receiving the Reunion Yearbook? Yes No
   (includes biographical information on honored classes as well as scenes from the weekend)
8. Would you like:
   • Class Photograph: Yes No
   • Reunion Tee-shirt: Yes No
   • Other reunion memento suggestions:
9. Would you like to invite favorite UMMC faculty/staff to reunion luncheon? Yes No
10. How do you prefer reunion registration to be priced?
    • I prefer a one-price reunion package, even if I can't attend all events.
    • I prefer an itemized list of each event priced separately.
11. Tour of Campus sites you would like to visit:
    • Norman Nelson Student Union
    • The New University Hospital
    • Wiser Hospital (NICU)
    • Cancer Institute
    • Blair Batson Children's Hospital
    • Wallace Conerly Critical Care Hospital (MRT Imaging Center)
    • Guyton Building
    • Other:
12. Would you be interested in an Alumni Travel program? Yes No
    A Class Reunion cruise? Yes No
    Areas of Travel:
13. Other feedback/suggestions: