New Member Contact Information:
First name:
Last name:
Email address:
Employer:
Spouse's Name:
Spouse's E-mail:
Spouse's Employer:
Phone #:
Street Address:
City:
State:
Zip:
Graduation Year and College (if applicable):
Additional information:
Comments:
Committees You'd Like to Join (choose all that apply):	Membership Scholarship/Student Relations Public Relations Community Service Events

DUES:   Dues will be $15 per person or $25 per family  (Membership Free for Current Students and Graduates within the last 3 years).  Dues are used to pay for website, snail mail, administrative costs, supplementing events, corporation fees, community service and all additional monies will be donated to our scholarship fund.

We'll add your name to our e-mail distribution list with or without dues.