WEST COAST (CA)

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When you click on "Submit ", the informations are sent to CIAG Secretary - Floro Gutierrez.
(Unless otherwise permitted; Home Address, Phone Numbers and Email Address will no longer be posted in CIAG website)

The informations you provide will help develop and maintain the CIAG members database and to be used by CIAG Committees for members only.

Member's Subscriptions and DataBase Form

Subscribe to the CIAG E-mail list?	Yes No
HS and/or College Degree & Year Graduate
Connection with CLSU if not Alumnus (faculty, friends, etc)?
First Name
Middle Name
Last Name
Spouse's Name
Home Addresss
Phone No.
Email*	*required for this "scripted form" to be processed
Do you permit your other info posted to Members Page?	Yes No
Message and/or Comments

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