UW-Milwaukee: Sign Up For Panther Advocates

To become involved with Panther Advocates, fill out the form below, or send your name, address and daytime phone to:

John Bartel
Coordinator, Panther Advocates
UW-Milwaukee Alumni Association
3230 E. Kenwood Blvd.
Milwaukee, WI 53201-0413

Confidential Questionnaire

E-mail Address (for responses):
Name:
Degree(s)/Year(s):
* Permanent address:
County:
City:
State:
Zip Code:
Company:
Title:
Business Address:
City:
State:
Zip code:
Home Phone:
Business Phone:
Fax:
Preferred mailing address:
State senator:
	Find your senator
State representative:
	Find your representative
Please list any legislators, their staff or other state officials with whom you have a relationship. (for relationship, we may be able to offer a drop-down box that offers choices such as friend, fellow UWM alumnus, neighbor, etc.)
Name:
Relationship:
Name:
Relationship: