Norman F. Miller UM Alumni Society

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Norman F. Miller Society

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Welcome to the web site of The Norman F. Miller Gynecologic Society. To access certains areas of the site, including the alumni database, message board, and we remember section, an account is required. Please complete the form below to begin using these features.

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Username & password:

	Username:		(between 5-15 characters)

	Password:		(case sensitive and must at least 6 characters)

	Retype Password:

Tell us about yourself:

Please provide accurate information as your first and last names are compared against our database for verification purposes. Names not found in our database will be subject to approval by the Norman F. Miller UM Alumni Society.

Name:

	First	MI		Last	Suffix

Current Address:	Line 1

	Line 2

	Line 3

	City	State/Province	Zip/Postal



Contact Info:	Primary Email Address

	Work Phone	Home Phone

	FAX Number

Years at UofM:	First Year at UofM	Last/Most Recent Year

		<- Please select the position(s) in which you are/were affiliated with The University of Michigan. To select multiple positions: PC - hold down Ctrl key MAC - hold down Command key

Career Information:

Submit my registration:

Note: After submitting your registration by clicking the button below, you will receive an e-mail to activate your account. Please follow the link contained with the e-mail to confirm your account. You must do this before you will be able to login to the secured areas of our web site.

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Norman F. Miller Society

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