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NJUST Alumni Registration Form

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: ah108@detroit.freenet.org.
Note:   Please filling in all fields with "*" and one or both of fields with "**".

Name (Pinyin): * (GB code) 
        Class:     **  (or/and) Division:  **
Email:         *
URL:           




Home Address (Optional)
Street:  
City:        State:    ZIP: 
Phone:   
Work Address
CompanyName:    *
Street:  
City:    *     State: *   ZIP: 
Phone:   *     Ext: 

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