Alumni Association Application

 

Personal information

* designates required field

*First name
Middle name
*Last name
Maiden name
Spouse name
*Address
*City
*State
*Zip
*Home phone
E-mail
Employer
Job title
Work phone
Class year
Select which type of membership you're applying for:

First year after college: FREE
Annual - Individual: $25
Annual - Couple: $35
Lifetime - Individual (Paid in full): $250
Lifetime - Couple (Paid in full): $400
Lifetime - Individual ($50 initial installment): $70 annually for next 5 years
Lifetime - Couple ($100 initial installment): $100 annually for next 5 years

This membership is a: Renewal

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