CORPORATE MEMBERSHIP INFORMATION SHEET Name of Business: Name of Contact: Names and grad years of employees who are UM Alumni: Business Mailing Address: Business Physical Address (if different): Type of business: Geographic service area(s) of your business: Description of business you wish to have published: (use back if necessary or attach separate sheet) Contact phone number: Contact email address: Business Web site: Will you provide give-a-ways for game days? (Y/N) Will you provide brochures/collateral for the Alumni Center? (Y/N) Levels only Red and Blue **Please attach a company logo or email electronic file to skmh@olemiss.edu Mail this form and payment (make checks payable to UM Foundation) to: Sarah Kathryn Hickman; Alumni Affairs; PO Box 1848; University, MS 38677