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ALUMNI ASSOCIATION

WSU Alumni Association
Membership Application



Please choose one desired membership category:

$40 Single Annual $100 Single 3-Year $550 Single Life
$50 Couple Annual $125 Couple 3-Year $700 Couple Life

 

Or Five-Year Installment Plan for Life Membership:

$125 Single $160 Couple

 

If you are replying to an invoice you received for membership renewal, please enter your Membership ID Number: 

 

Promotion Code: (if applicable)

 

Personal Information:

First Name:
Last Name:
Graduation Year
Nickname:
MyWSU ID:
Spouse Name:
Maiden Name:
Spouse Grad Year:
(If applicable)
Spouse MyWSU ID:
(If applicable)
Address:
City:
State:
Zip:
Country:
Home Phone:
Cell Phone:
FAX:
E-mail:

Job Information:

Name of Business:
Your Title:
Business Address:
City:
State:
Zip:
Country:
Work Phone:
FAX:
E-mail:


MEMBERSHIP RENEWAL OPTIONS:

Please consider these two optional renewal services:

Sign me up for AUTOMATIC BILLING. My credit card will be charged the appropriate membership rate at renewal time, automatically renewing my association membership. (If you would like to sign up for this service, please consider paying today with your credit card. We will keep the information on file for Automatic Billing. If you choose this service and pay by check today, you will be contacted for your credit card information.)

Sign me up for ONLINE RENEWAL. When my membership expires, I will be sent a renewal notice via e-mail instead of a paper notice. (If you sign up for this service, please keep us apprised of your current e-mail address.)

WSU SOCIETY MEMBERSHIP:

If you are affiliated with one of the following groups, your membership with the Alumni Association can include membership in these groups:

Please indicate your choice:
MBA Society
PA Society
Nursing Alumni Society
Bands Alumni Club
Barton School of Business Society
Elliott School of Communications Society
Social Work Alumni Society

PLEASE HELP US:

How did you find out about the benefits of joining the Wichita State University Alumni Association (check all that apply):

 Facebook
 Twitter
This Website
The Heskett Center Do you know about the special alumni member rates?
Membership Brochure
The Shocker Magazine
Alumni Association Employee
Another Member
Watch Party
Alumni Mailing
Other

Payment Options:

Submit this form and mail the printout (next page) with my check as payment
Enter my credit card information on secure pages
Call in my credit card information

Your membership package will be mailed to you after we receive your payment. Thank you!

WSU Alumni Association
1845 Fairmount
Wichita, KS 67260-0054

Phone: (316) 978-3290
Toll Free: 888-316-2586
Fax: (316) 978-3088