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<font face="arial">Phone Tree Agreement

EAP JAPAN EMERGENCY PHONE TREE AGREEMENT

This is the EAP Japan Emergency Phone Tree Agreement for UCEAP students.

Please provide the following information. If you agree with this form, your cell-phone or phone number will appear on the phone tree and be shared with a group of five to six UCEAP students who go to the same Host University. This is very important way of keeping in touch with you in case of emergency.
(e.g. earthquakes, tyhoon, cancellation of class, etc)

Name

Host University

Cell-phone number

Land-line phone number (if you have any)

Primary Email address (other than cell-phone email address)

Cell-phone e-mail address


Please Select:

I agree that my cell-phone or phone number appears on the EAP Japan Emergency Phone Tree.

I DO NOT AGREE that my cell-phone and phone number appear on the EAP Japan Emergency Phone Tree.


NOTE:
  In case you have a problem or any error messages pop up when you click a "Send" button, fire up Internet Explorer, hit the Tools menu, the Internet Options menu item, and then click on the Programs tab. If you then click on the E-mail: dropdown, you will see the full list of available options simply select the email program "Outlook Express". And go back to the website and click a "Sent" button again. If you still can not solve the problem, send us the form at info at mark uctsc.org by e-mail.

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