MBB Alumni Day

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Saturday, Jan. 6 vs. UW-River Falls

First Name *

Last Name *

Street Address *

Email address *

City *

State *

Zip *

Phone *

Participating in Alumni Game at 3 p.m.? *

Alumni T-Shirt Size *

Attending UW-Platteville vs. UW-River falls game at 7 p.m. *

If YES, how many tickets? (Up to 4)

List team and individual accolades.

Number of semesters on Gabe Miller Academic Honor Roll

* required field