HomeOfficers2012 U.S. ReunionAbout CIMAlumni DirectoryPhotosAlumni NewsContactCIM Golden JubileeLinks
A - C
D - L
M - R
S - Z
CIM Alumni Info Sheet

ASOCIMAI 2012 REUNION REGISTRATION

Click HERE to register for the 2012 ASOCIMAI Reunion in Orlando, FL.

 

 
 CIM Alumni Info Sheet 
INSTRUCTION:

In the SURNAME box, if you are a married female, please enter your SURNAME using the format "Maiden Name-Married Name (e.g. Larosa-Fernandez).

PERSONAL INFORMATION
Surname:
 *
First Name:
 *
M.I.
 
Year of Graduation
 *
 
PERMANENT MAILING ADDRESS
Street Address:
 *
City/Town:
 *
Province/State:
 *
Zip Code:
 *
Country:
 *
 
OTHER CONTACT INFORMATION
Email Address:
 *
Office Tel No.:
Home Tel No.:
Mobile Phone No.:
 
Comments:
Mailing list signup:
 
Check this box to signup for our site mailing list.
Security code:
 *
Do not enter anything in this field:

* indicates a required field
 
Site Mailing List  Sign Guest Book  View Guest Book 

ASOCIMAI
Email: admin@asocimai.org

This Website Designed using the
iBuilt Website Builder