Please fill out this brief form to RSVP for the July 11 Alumni Reception in Springfield. The event is sponsored by the SIU School of Medicine and the SIU and SIUE Alumni Associations. First and last name (for nametag) Year of Graduation I am a(n): - None -SIU SOM alumnus/aPA studentSIU SOM facultyMEDPREP studentSIU SOM resident Preferred Email I will be bringing a guest - None -YesNo If yes, name of guest's first and last name for nametag, including credentials if any (e.g. PhD, M.D.)
