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Membership Form
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THE PENN AND WHARTON ALUMNI CLUB OF MICHIGAN

2008-2009 ANNUAL MEMBERSHIP FORM

 

Please Check

Membership Category

2008-2009 Annual Dues***

 

 

 

___________

Member

  $40.00

___________

Benefactor *

$100.00

___________

Recent Alumni**

  $20.00

___________

Parent

  $20.00

 

*    Benefactor members receive free admission to all 2005-2006 club events.

**   Recent alumni include anyone from the classes of 1995 through 2005

*** Note that all dues paying members receive a discounted price for all club events

 

Personal Information

 

Name

_____________________________________

 

 

Address

_____________________________________

 

 

_____________________________________

 

 

Preferred Phone Number

_____________________________________

 

 

Preferred E-Mail Address *

_____________________________________

 

 

School and Year

_____________________________________

 

 

 

We maintain all communication via e-mail, so please include your preferred e-mail address.

 Please indicate any committees you would be interested in helping:

Secondary School (Interviewing)

_________

Programming / Events

_________

Membership

_________

Young Alumni

_________

Please copy, complete, and mail this form and payment of the annual dues to Gerri Frank at . . .

1180 Westboro

Birmingham MI  48009

Make all checks payable to “Penn Club of Michigan”. 

We appreciate your support and look forward to seeing you at future events!