AITP 2018-2019 Membership Form

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AITP 2018-2019 Membership Form

Thanks for your interest in Purdue AITP! Please fill out this form and pay your dues to join our awesome club!

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Grade Level *

Freshman

Sophomore

Junior

Senior

Other:

Major *

Your answer

Minors (if any)

Your answer

Purdue Email *

Your answer

Phone *

Your answer

How did you hear about AITP? *

Professor

Callouts

B-Involved Fair

Other Students

Flyers

Other:

Have you paid your dues? *

Yes

No

Other:

T-shirt Size (Shirts are Unisex) *

Small

Medium

Large

XL

2XL

3XL

Other:

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