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Gold/Wayne Aggie Alumni Membership Form
For Goldsboro-Wayne Aggie Alumni Chapter Membership
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Email
*
Your email
Email Address
Your answer
First name
*
Your answer
Last Name
*
Your answer
Maiden name (Alumni members only)
Your answer
Did you complete the Membership Form last fiscal year (2023-24)
Yes
No
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Payment Options - Members (Attended or Graduated: $75),
Associate Members ($50)
Check Mail to: Goldsboro/Wayne Aggie Alumni Chapter, PO Box 519, Goldsboro, NC 27530
Cash
Zelle App (Scan QR Code)
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Mailing Address
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City, State
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Zip Code
Your answer
County
Your answer
Phone Number
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Years attended NCA&TSU (i.e. 1992-1996)
Your answer
Graduation Year?
Your answer
Major?
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Degree?
Undergraduate
Graduate
Other
Other:
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If you selected OTHER, what was your major?
Your answer
College? (Department)
Your answer
Who is your Employer?
Your answer
What is your Role/Title?
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Membership Type
Alumni (attended A&T for at least one semester)
Asociate (option for non-Aggies, parents, supporters)
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Membership Status
1st Time
Recent Graduate (select if you graduated in the class of 2023)
Returning
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If this is your first time joining the Alumni Chapter, who referred you?
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