Membership Application for Xerox Alumni Association |
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(Use your browser's "print" function to print this form.) Members of Xerox Alumni Association must have been employed by Xerox Corporation. Members agree to respect the privacy and personal data of all listings in the member database and directory. Members receive access to our Networking Directory of hundreds of ex-Xerox colleagues and can list their Web site on our Member Sites page. Please complete the following so that we may update our database with your data and return it with your check for $10 to: Xerox Alumni Association, C/O Kay Donovan, 735 Bentwater Circle #204. Naples, FL, 34108 Name: _________________________________Spouse's Name:_______________________________ Home Address:______________________________________________________________________ City: _______________________________ State: ______ Zip:______________________________ Home Phone: (______)_________________ Business Phone: (______)_________________________ Fax: ___________________________ E-Mail address:______________________________________ Current Company: (if applicable)________________________Position:_________________________ Company Product/Services:____________________________________________________________
Start Date: _______ Hiring Division: __________ Hiring location:_____________________________ Separation/Retirement Date: ______ Last Division: _____________ Departure location:____________ Functional Area (Marketing, Sales, Human Resources, etc.)
[ ] I will contribute information to the Web site.
________________________________________________________________________________ Your membership will be confirmed via e-Mail at the address noted above at which time you will receive your password to access your personal data and other members’ information. You are responsible for maintaining your contact information in the database. You are encouraged to use bulletin boards and other Web site networking features to share information that you feel will be of general interest to the membership of Xerox Alumni Association. Thank you for your membership in Xerox Alumni Association! |
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