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Office of Alumni Relations The University of Scranton
Scranton, PA 18510-4624
1-800-SCRANTON or
570-941-7660

alumni@scranton.edu
Alumni Small Business Initiative: Participation Form

To become part of ASBI, please submit your information below. We ask that you verify your home information for our records, but only business information will appear in the Small Business Directory.

* Indicates a required field

First Name
Last Name
Maiden Name:
Preferred Class Year:
Primary E-mail
Home Phone Number:
Address 1:
Address 2:
Address 3:
City:
State:
Zip:

Please enter your business information exactly as you would like it to appear in the directory.
Company Name:
I am the business

Professional Title:
Business Category:
Business Address 1:
Business Address 2:
Business Address 3:
Business City:
Business State:
Business Zip:
Business Country:
Business Phone:
Business E-mail:
Business website:
Please be sure your business URL is functioning properly before listing it in the directory.

Additional Comments /Suggestions: