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Please choose one of the options below to request your account.

Before your account is activated, your information will be verified by the Office of Alumni Relations and Development.

Alumni ID

*Email

*First Name

*Last Name

*Address

Address Line 2

*City

*Province

*Postal Code

Country

*Date of Birth

Phone

*Password

Repeat Password

Year of Graduation...

Program Name

Maiden Name

Preferred method of contact

I consent to Western University updating my alumni record and to receiving communications about the Alumni PURPLE PERKS program. I understand that updates to my alumni record may result in my receiving other communications from Western’s Alumni Department unless I have otherwise opted out of such communications.

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