Name:          Maiden Name:

Address:

City:            State:      Zip:

Home Phone:   Cell Phone:

Email Address:

Year of Graduation from EGC/ECJC or years that you attended:                         

Tell us where you are now and any details you would like to share:

If you wish to mail this form back, please print out and send to the Director of Alumni Relations, 131 College Circle, EGC, Swainsboro, GA 30401. Thank you.