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MEMBERSHIP FORMS

  Grambling State University Alumni Online Membership Form

First Name:
Middle Initial:

Last Name:

Maiden/Last Name
at GSU:

Address 1:
Address 2:
City:
State:

Zip Code:
Email Address:

Home Phone:

Business Phone:

Cell Phone:

GSU Class Year(s)

GSU Degree(s)

Membership Levels:

Individual $120 
Associate $55   
$350 Life Membership

Please indicate Area(s) of Interest:
(Please select one or more):

Alumni Affairs  Battle Of The Band 
Career Awareness  Community Projects
Fund Raising High Ability
High School Day High School Relations
Hospitality Membership
Newsletter Public Relations
Scholarships Tiger Band
Web Page  

Please enter your questions or comments regarding your membership application below and some one will get back with you regarding your application:

                             


Please Make Your Membership Payment  Using Secured Paypal
(please keep your notification for proof of payment)

Individual $120.00

Associate $55.00

Life Membership $350.00

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