Membership Application -- July 1, 2007 – June 30, 2008
Dues are $25, free for alumni from the classes of '02-'07, and free for alumni 80 years of age or over.
Please print out and mail this form and your check, made payable to Boston University Alumni Club of Cape Cod and the Islands, to:
Patricia Hamilton
33 Rivers Edge Road
East Falmouth, MA 02536
| Name: |
_______________________________________ |
| School(s)/Year(s): |
_______________________________________ |
| Address: |
_______________________________________ |
| City: |
_______________________________________ |
| State: |
_______________________________________ |
| Zip code: |
_______________________________________ |
| Day phone: |
_______________________________________ |
Evening phone: |
_______________________________________ |
| Email address: |
_______________________________________ |
| Employer: |
_______________________________________ |
| Position: |
_______________________________________ |
| Address: |
_______________________________________ |
| City: |
_______________________________________ |
| State: |
_______________________________________ |
| Zip code: |
_______________________________________ |
| Please indicate
committee(s) you would like to join: |
| ______ |
Membership |
| ______ |
Events |
| ______ |
Career Advisory Network |
| ______ |
Scholarship |
| ______ |
Publicity |
| ______ |
Alumni Schools Committee |
| |
|
| ______ |
I do not wish to be listed in
the Alumni Club of Cape Cod and the
Islands membership directory. |
| ______ |
I would like to make a donation
to the Alumni Club of Cape Cod and the Islands
scholarship fund. A separate check, payable
to Boston University, is enclosed. |
For more information, please call
the Office of Development and Alumni Relations at
800-800-3466 or send e-mail to Jennifer Palmer at jepalmer@bu.edu.
Thank you for your support.
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