Alumni Association

Alumni Membership Payment Form

Important:
* Fields marked with an asterisk are required.

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*Your Name:
*Social Security Number(SSN):
Spouse's Name:
Spouse's SSN:
*Choose the Membership Type:


For the Life Memberships, you can pay the full amount or make one of the yearly payments.
Billing will be handled through the MSSU Alumni Office.
*Amount to pay: $



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