Alumni Association Annual Dues Alumni Association Annual Dues Last Name*First Name*Spouse's NameAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code APO-AEArgentinaAustraliaAustriaBahamasBahrainBrazilBulgariaCameroonCanadaChileChinaColombiaCosta RicaCyprusCzech RepublicDemocratic Republic of the CongoDominican RepublicEcuadorEnglandEritreaEthiopiaFinlandFranceGambiaGermanyGhanaGuineaGuyanaHaitiHondurasHong KongIndiaIndonesiaIsraelItalyJamaicaJapanKenyaLiberiaMacedoniaMalawiMalaysiaMexicoMyanmarNepalNew ZealandNicaraguaNigerNigeriaNorwayPakistanPanamaPapua New GuineaPeruPhilippinesPolandPortugalRomaniaRussiaSerbiaSierra LeoneSingaporeSouth AfricaSouth KoreaSpainSt LuciaSwazilandSwedenSwitzerlandTaiwanTanzaniaThailandTrinidad and TobagoUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesVenezuelaVietnamZambiaZimbabweOther Country Home PhoneCell PhoneEmail Alumni Association Annual Dues $25 for annual dues for one person $35 for annual dues for a couple $200 for lifetime dues for a person $300 for lifetime dues for a couple Total for Alumni Association Annual Dues $0.00 Payment Type* Pay with Credit Card Pay with PayPal Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name