Online Alumni Application

MCU Alumni Dues: Annual Dues Single Membership $20 Joint Membership $30 Lifetime Dues Single Life Membership $350 Joint Life Membership $500 If you prefer not to apply online you may print out an application here. Member #1 Dr. Mr. Mrs. Ms. First name: Middle name: Maiden name: Last name: Address: City: State: ZIP: Phone number: Birth date: e-mail: Check if you did not attend MCU: List the year(s) you attended or graduated from MCU: Do you wish your information to be listed on the online alumni directory? Yes No Will this be a joint membership? Yes No 2nd member Dr. Mr. Mrs. Ms. First Name Middle Name Maiden Name Last Name Address City State Zip Phone Birth date e-mail Check here if you did not attend MCU List the year(s) you attended or graduated from MCU Do you wish your information to be listed on the online Alumni directory? Yes No How will you be paying for your membership dues? Credit Card PayPal Mailing a check

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