Alabama A & M University Washington, DC Metropolitan Alumni Chapter Membership Application (Membership Year: January 1

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Alabama A & M University Washington, DC Metropolitan Alumni Chapter Membership Application (Membership Year: January 1—December 31)

Last Name *

First Name

Middle Name

Mailing Address *

City

State

Zipcode

Home Phone number: *

Work Phone number: *

Class Year (Example: 2020) *

Major *

What is today's date? *

YYYY

Email address: *

CHECK THE APPROPRIATE SPACE BELOW *

I am applying for a new membership

I am renewing my membership

Type of Membership *

Life Member

Regular Member

Associate Member

Dues Structure (Select One) *

$20.00 - ANNUAL ASSOCIATE MEMBER (NATIONAL)

$45.00 - ANNUAL ASSOCIATE MEMBER (LOCAL)

$50.00 - ANNUAL ACTIVE MEMBER (NATIONAL)

$75.00 - ANNUAL ACTIVE MEMBER (LOCAL)

$500.00 - MAROON & WHITE LIFE MEMBERSHIP (NATIONAL)

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