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2018 Dues Membership Form

Fiscal Year July 1, 2017 - June 30, 2018

This form will collect the information necessary to process your dues membership for the 2017-18 Fiscal Year. Memberships submitted online are not considered complete until payment is received.

* REQUIRED FIELDS

Please Help Keep Our Records Up To Date

* Name:
* Date of Birth:
* Class Year:
* Email Address:

Home Address:

* Address:
* City:
* State:
* Zip Code:
Home Phone:

Employer Information:

Employer:
Job Title:
Address:
City:
State:
Zip Code:
Work Phone:

Were you an ESF Athlete?

Check the sports you participated in: Soccer
Cross Country
Basketball
Track and Field
Golf
Woodsmen (Timber Sports)
Bass Fishing
Did you participate in an SU club or varsity sport? If so, which one(s)?
What years did you participate?

Scholarship Info:

Did you receive a scholarship while attending ESF?

Yes:    No:

If yes, which scholarship?

Supplemental Information:

Check if you no longer wish to receive a token of thanks for paying your dues membership.
* Which Membership Level would you like?
  • Annual Membership (Standard): $40
  • New Alumnus Membership (Class years '13-'15): $20
  • Life Membership - Ages 66+: $325
  • Life Membership - Ages 41-65: $375
  • Life Membership - Up to Age 40: $425

Do you have an item for the Alumni News Class Notes Section?
(Next Alumni News Deadline: December 31, 2017)

 


If you wish to include a photo, please email a JPEG file to alumni@esf.edu
If you do not wish to have your class note appear in the online version of the Alumni News, please check this box.

Special Offer for Members Only

The Alumni Association's Executive Committee will hold a raffle on October 1, 2017 for dues-paying members. Prizes - an ESF T-shirt or travel mug - will be given to one alumnus selected from among every 100 memberships (includes new Life Members). To enter, complete the information below.

I would prefer a: