UNITED STATES INTERCOLLEGIATE LACROSSE ASSOCIATION
2007-2008 MEMBER INFORMATION FORM

(Please fill in ALL the information requested. We are doing a lot of our correspondence electronically so it is very important to have correct E-mail addresses.)

Institition:

Division:

Mailing Address :

Phone:

Fax:

E-Mail Head Coach:

Head Coach:

Atheltic Director:

League/Conference: