Print this form, fill it out, and send with your payment to the address below.
Membership accepted pending verification of graduate status.
Member Information
Name ______________________________________________________
Address _____________________________________________________
City/State/Zip ________________________________________________
Home Phone _________________________________________________
Work Phone ______________________________________________________
E-mail ________________________________________________
Grad Year ____________________ Major _________________________
Employer ____________________________________________________
Title ________________________________________________________
Membership Type
___ Annual $40
___ Lifetime $200
Method of Payment
___ Cash/Check (made payable to the Sinclair Alumni Association)
___ Visa/MasterCard No: _______________________ Exp. ___________
Name on card ___________________________________________
Signature (authorizing automatic charge of amount)
______________________________________________________
Volunteer Interest
___ Please contact me about serving on the Alumni Executive Council
___ Please contact me about other volunteer opportunities (i.e., career fairs)
After completing this form, send along with your payment to:
|
Sinclair Alumni Association |
If you are using a credit card, you may fax your form to (937) 512-2388.
For more information, call (937) 512-3330 or e-mail alumni@sinclair.edu.
