Form – Shop Rochester

Contact information

Full name*

Name while attending University of Rochester

if applicable

Email address*

Phone number

City*

State*

Country*

University affiliation

choose all that apply

Alumnus/alumna
Parent
Friend
Faculty/staff
Spouse/partner
Other

If other, please specify

If you are an alumnus/alumna, which school(s) did you attend?

Arts, Sciences, & Engineering
Eastman Institute for Oral Health
Eastman School of Music
School of Medicine and Dentistry
School of Nursing
Simon Business School
Warner School of Education
Not applicable

If you are an alumnus/alumna, what year(s) did you graduate?

Business Information

Business/service name*

Business and/or storefront website

if applicable

Additional business contact information (phone and physical mailing address)

if applicable

What's your title or role in the business/service?

Describe the type of business/service offered*

Provide a short descriptive paragraph of your business/service that can be used in the gift guide*

Is there a particular product or service you would like to feature in the gift guide, and what makes it special?

Website URL

Include full URL with the following format: https://mywebsite.com

Description

Please upload an image of your product or business for us to use when promoting your business.

Max. file size: 20 MB.

Disclaimer: Submission of your business or product information does not guarantee inclusion. If you have questions, contact Halie Geer, director, associate director, regional volunteers and programs, at halie.geer@rochester.edu.