Savannah Moss Chapter Interest Survey
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In the interest of expanding our membership and activities, the Savannah Moss Chapter of the Penn State Alumni Association would appreciate your completing and returning this survey.

1. Are you currently a member of any Penn State Alumni Chapter?

2. Would you be interested in joining the Savannah Moss Chapter?

3. If “Yes” to question 2, would you be interested in serving on the board or being a board officer?

4. Please check the types of alumni activities you would like to participate in:

5. Would you be interested in helping organize any of the above activities?

6. Name and Year of Graduation:

7. Address:

8. Phone Number:

9. E-mail Address: