The U of M Alumni Association Mail In Membership Form

Inside we are all True Blue. If you are a U of M graduate, a former or current student, a friend, or a loyal Tiger fan, then you bleed True Blue! You, your friends and your family are all welcome to join the University of Memphis Alumni Association. Become a member today, because membership matters.

Please fill out the information below and:

Fill in the mail-in membership form below that can be printed and either faxed (901/678-4711) or mailed to The U of M Alumni Association (Alumni Center, University of Memphis, Memphis, TN 38152) for payment via check or credit card ; OR Join the Alumni Association online by filling out the the secure online form and paying with a credit card.

Your Information:
First Name   Middle Name   Maiden Name
Last Name
SSN
Address
City   State   Zip
College (ex: Arts and Sciences)   Year Graduated
Additional Degrees
College (ex: Arts and Sciences)   Year Graduated
College (ex: Arts and Sciences)   Year Graduated
Company Name
Company Address
Company City   State   Zip
Work Phone
Home Phone
E-mail

Spouse's Information (if joint membership):
Name (for joint memberships)    SSN
College   Year Graduated
Company Info:
Company Name
City   State   Zip
Work Phone
E-mail

Membership Categories

$35 Annual Membership: For alumni, former students, friends and supporters
$50 Joint Annual: For you and your spouse
$20 Recent Graduate: Alumni from the five most recent years after graduation
$20 Golden Annual: 65+
$35 Golden Annual Joint: 65+ for you and your spouse
$20 Faculty/Staff: For persons employed by the University of Memphis
$750 Life Membership (May pay in yearly installments of $170 over 5 years including additional premium of $100)
$1000 Joint Life Membership (May pay in yearly installments of $220 over 5 years including additional premium of $100)
$200 Golden Life Membership: 65+
$350 Joint Life Membership: 65+ for you and your spouse
$100 Tiger Combo: Annual membership in the Alumni Association, Tiger Scholarship and a portion goes toward the academic Scholarship Fund

Method of Payment

Credit Card
Charge my membership to (check one) Visa, MasterCard, AMEX, or Discover
in the amount of
Card #   Exp. Date
Signature (if paying by credit card)
Would you like to automatically renew your membership via credit card each year?
Yes   No

My check in the amount of made payable to the University of Memphis Alumni Association is enclosed.

Where did you hear about us? (check one)

From Alumni or Friend - Name:
University of Memphis Magazine
E-Newsletter
Alumni Event - Name:
Direct Mail
Phone Call
Other: