(Print this form and send in)
| Yes, I want to participate in the ACC Alumni Wall. I would like
the following information to appear on my paver (you are allowed three lines
with up to 18 letters/spaces per line). |
| Paver Line #1 __ __ __ __
__ __ __ __ __
__ __ __ __ __
__ __ __ __ |
| Paver Line #2 __ __ __ __
__ __ __ __ __
__ __ __ __ __
__ __ __ __ |
| Paver Line #3 __ __ __ __
__ __ __ __ __
__ __ __ __ __
__ __ __ __ |
| Your Name: | _____________________________________________________ |
| Address: | _____________________________________________________ |
| City, State, Zip Code: | _____________________________________________________ |
| Phone Number: | _____________________________________________________ |
Mail or fax this form to:
Penny Boldrey
Alpena Community
College
665 Johnson Street
Alpena, MI 49707-1495
(Fax) 989.358.7553
Make checks payable to: Alpena Community College Foundation. If you would like additional pavers, just indicate the amount on the form and send the appropriate payment.
For more details about the Alumni Wall or other alumni activities, contact Penny Boldrey, Executive Director, at 989.358.7297.