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ALUMNI ASSOCIATION

WSU Alumni Association
Membership Application
University Faculty and Staff Special Rate


Membership Options for Faculty and Staff:

$25 Single Annual Membership $35 Double Annual Membership

(Membership is open to all alumni and friends of WSU.)

 

Personal Information:

First Name:
Last Name:
Graduation Year (if applicable):
My WSU ID:
Nickname:
Spouse Name:
Maiden Name:
Spouse Graduation Year (if applicable):
Spouse's My WSU ID (if applicable):
Address:
City:
State:
Zip:
Country:
Home Phone:
Mobile Phone:
FAX:
E-mail:

 

Job Information:

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


Payment Options:

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


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

WSU Alumni Association
1845 Fairmount
Wichita, KS 67260-0054

If you have questions, please call Stacy Shanahan at:
Phone: (316) 978-3826
Toll Free: 888-316-2586