Reunion All-Class Dinner 2027 

RSVP/Gift Information

Contact Information

Personal
	Title:	Mr. Mrs. Ms. Miss Dr. Hon. *
*	First name:	*
	Middle name:
*	Last name:	*
	Suffix:
I am making this gift as a proxy for my organization/company, which should be recognized as the legal donor
	Company/Organization name:	*
Contact Information
*	Street:	*
	U.S. Addresses
*	City, State, Zip:	* AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY * *
	Non-U.S. Addresses
	Non-U.S. City/County   or Province/Postal Code:	*
	Country:	AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANTIGUA & BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN AZORES ISLANDS BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA-HERZEGOVINA BOTSWANA BRAZIL BRITISH VIRGIN ISLANDS BRITISH WEST INDIES BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CANARY ISLANDS SPAIN CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHANNEL ISLANDS CHILE COCOS ISLANDS AUSTRALIA COLOMBIA COMOROS CONGO-BRAZZAVILLE CONGO-KINSHASA COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISLE OF MAN ISRAEL ITALY JAMAICA JAPAN JORDAN KASHMIR KAZAKHSTAN KENYA KIRIBATI KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LEEWARD ISLANDS LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARTINIQUE MAURITANIA MAURITIUS MEXICO MIDWAY ISLANDS MOLDOVA MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLAND ANTILLES NETHERLANDS NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORTH KOREA NORWAY OKAYAMA OKINAWA JAPAN OMAN PACIFIC ISLANDS PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PEOPLE'S REPUBLIC OF CHINA PERU PHILIPPINES PITCAIRN ISLANDS POLAND PORTUGAL QATAR REUNION ROMANIA RUSSIA RWANDA SAN MARINO SAO TOME & PRINCIPE SAUDI ARABIA SENEGAL SERBIA SEYCHELLES SIERRA LEONE SIKKIM SINGAPORE SLOVAK REPUBLIC SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH KOREA SOUTH SUDAN SPAIN SRI LANKA ST. HELENA ST. KITTS & NEVIS ST. LUCIA ST. PIERRE & MIQUELON ST. VINCENT SUDAN SURINAM SWAZILAND SWEDEN SWITZERLAND SYRIA TAHITI TAIWAN TAJIKISTAN TANZANIA THAILAND TOGO TONGA TRINIDAD & TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS & CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM URUGUAY UZBEKISTAN VANUATU VENEZUELA VIETNAM WALLIS & FUTUNA ISLANDS WESTERN SAHARA WESTERN SAMOA WINDWARD ISLES YEMEN YUGOSLAVIA ZAIRE ZAMBIA ZIMBABWE *
*	This address is my:	Home Business *
*	Home telephone:	Invalid phone number *
	Business telephone:	Invalid phone number
*	E-mail address:	* Invalid e-mail address
*	This e-mail is my:	Home Business *

Additional Information

UCLA is photographing and video recording this event in which you are participating or attending. I acknowledge that I have been informed and may be photographed and/or recorded as part of the program.: *   * Degree Type: JD MBA LLM Other *   * UCLA Registrant Law Class Year: 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1982 1987 1992 1997 2002 2007 2012 2017 2022 Other * Guest Information Please fill in guest information if you are buying tickets for other than yourself. If you have no guest, enter BLANK for first and last name. Guest 1   * First Name:   * Last Name:   UCLA Law Class Year (if applicable): Guest 2   * First Name:   * Last Name:   UCLA Law Class Year (if applicable): Guest 3   * First Name:   * Last Name:   UCLA Law Class Year (if applicable):