Alumni Event Form

Contact Information
First Name *
Last Name *
Email Address *
Phone Number
Event Information
Event Title *
Date *
Time	Start * End
Attendance Information Recommended: Discount for members	UConn Alumni Association Member Price $ Non-Member Price $ Other (Ticket quantities, other pricing options)
Location	Venue * Venue Website Street Address * City * State *
Description
Please include a few sentences that describe your program. Include important information such as special guests, parking or directions. *
Images
Other
Additional Comments
Email Blast Date *	Click here to discuss potential additional emails with your UConn Alumni Association staff liaison.

* Required Field