URochester Reunion “R” Hat Preference Form

"*" indicates required fields

Please reach out to Danielle Berry at danielle.berry@rochester.edu with any questions.

First name*

Last name*

Email address*

Choose from the following options*

Please send me a blue hat to the address below.

Please send me a khaki hat to the address below.

This is my preferred email address—please update your records.

This is my preferred mailing address—please update your records.

Address*

Street Address City State ZIP Code

This is my preferred mailing address—please update your records.