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University of South Alabama

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Alumni Membership Form
Click here for a comprehensive listing of all of the Alumni Membership Benefits
*Benefits vary depending on level of membership
--Download the University of South Alabama National Alumni Association Membership Brochure/Application--

Complete the form below:

* Fields are required.
* Name
* E-mail Address:

Address:

* Street:
* City: * State: * Zip:
* Telephone:
Cell Phone

Personal Information:

Employer:
Title/Position:
Business Address :
Business Phone:
City:   State: Zip:

Spousal Information ( If USA Alumnus) :
*only required if purchasing joint memberships

Spouse Name:
E-mail :
Cell Phone:

* Membership Options:

1 Year Membership   First Year Graduate $10
*Payment must be received within twelve (12) months of graduation date.
**Membership expires exactly one year from date of graduation.

  Individual $35
  Joint $60
  Associate Individual Annual $40 (non-USA graduate)
Lifetime Memberships
First Year Graduate Lifetime $375
*first payment must be received within six (6) months of graduation date.
  Pay in Full   Five Annual $75 payments
Individual Lifetime $500
  Pay in Full   Five Annual $100 payments
Joint Lifetime $750
  Pay in Full   Five Annual $150 payments
Associate Individual Lifetime $550 (non-USA graduate)
  Pay in Full   Five Annual $110 payments
Joint Associate Lifetime $800 (non-USA graduate)
  Pay in Full   Five Annual $160 payments
© 2013 University of South Alabama | Mobile, Alabama 36688-0002 / 1 (251) 460-7084
For questions or comments Contact Us
Date last changed: February 5, 2014 11:26 AM
http://www.southalabama.edu/alumni/onlinemembership.shtml

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