OUR REGION'S FUTURE. - Virginia Western Community College

Virginia Western Educational Foundation
P.O. Box 14007
Roanoke, VA 24038-4007
JOIN TODAY!
Become an Alumni Association Member
ALUMNI ASSOCIATION MEMBERSHIP APPLICATION
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Full Name (Please Print) Maiden Name (if applicable)
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Joint Member Name (if applicable)
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Address
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City State Zip
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Phone E-mail
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VWCC Graduation Year or # of credit/hours completed
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VWCC Curriculum
MEMBERSHIP TYPES
$10 Annual - Single
$20 Annual – Joint*
*Membership Eligibility: Joint membership is available to two individuals living at the same address. For Gift Membership, simply fill out the form with
the recipient’s information and include your name & address beside the gift membership box.
PAYMENT METHOD
Check Visa MasterCard
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Credit Card #:
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Exp. Date :
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Signature:
REFFERED BY A FELLOW MEMBER?
Did someone refer or encourage you to join? Is so, please include this
person’s name here so they can receive reward points for participating in
our “I am. Are you?” Membership Campaign.
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Class of 2009 2008 graduate - - free
I did not attend Virginia Western, but I
want to join the Alumni Association as
a Friend.
$10 Gift Membership* ___________________________________________________________________
Given by Address City State Zip
MAIL OR FAX COMPLETED FORM TO:
Virginia Western Alumni Association
P.O. Box 14007
Roanoke, VA 24038-4007
Fax: (540) 857-6370 Phone: (540) 857-8914
Or join online instantly by visiting
virginiawestern.edu/alumni
NON-PROFIT
ORGANIZATION
U.S. POSTAGE
PAID
ROANOKE, VA
PERMIT #78