Membership Application: Fax

Membership Application: Fax

Print this form and fax the completed application.
To use the Fax Application, you must pay your dues using a major credit card.

Fax to: WMU Alumni Association, 269 387-8770

Fax from:

Name:

 


WMU Class Year:

 


Street Address:

 


City, State and ZIP Code:

 


Country:

 


Phone Number:

 


E-mail Address:

 


Spouse's Name:

 


Spouse's WMU Class Year:

 

Check the box below that applies
Individual Annual Membership Joint Annual Membership
U.S. $30 U.S. $35
All other countries $35 All other countries $40
Brown and Gold $25
Age 62 or graduated 40 or more years ago.		 Brown and Gold $30
Age 62 or graduated 40 or more years ago.
   
Individual Life Membership Joint Life Membership
One annual payment $500 (U.S.) One annual payment $650 (U.S.)
Two annual payments $260 (U.S.) Two annual payments $335 (U.S.)
Five annual payments $110 (U.S.) Five annual payments $140 (U.S.)
Please send me International Life Membership Information

To use this Fax Application, you must complete the following section and pay your dues by major credit card.
VISA MasterCard Discover
Account number: Expiration date:

Your signature: (if you are paying by Credit Card)


 

Alumni Association
Western Michigan University
Kalamazoo MI 49008-5404 USA
(269) 387-8777 | (269) 387-8770 Fax
alumni@wmich.edu