Washington, DC Metro HBCU Alumni Alliance, Inc. (DCHBCUAA) New Membership Form

Chapter Information
Name of Institution*
Alumni Chapter Name *
(as it should appear on the www.dchbcu.org website)
Chapter Email (if applicable)
example@example.com
Chapter President's Name*

PrefixFirst NameLast NameSuffix
Chapter President's Email*
example@example.com
Chapter President Phone Number*
Please enter a valid phone number.
Chapter Representative's Name (if not the chapter president)

PrefixFirst NameLast NameSuffix
Chapter Representative's Email
example@example.com
Chapter Representative Phone Number
Please enter a valid phone number.
Chapter Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How many financial members did you have in your local alumni chapter/auxiliary organization at the end of the chapter's last fiscal year? NOTE: This question is what will be used to determine whether the chapters are small (50 and under) or large (50+).*
Do you want to be added to the DCHBCUAA GroupMe Chat?*

YesNo
Upload Chapter Logo*

High Resolution jpg or png
Cancelof

Chapter Website and Social Media
Chapter Website
Chapter Facebook
Chapter Instagram
Chapter Twitter
Chapter LinkedIn
Chapter YouTube
Chapter TikTok
Chapter Meeting Information*
Example: Meetings are held at 11:00 a.m. on the first Saturday of most months, with the exception of most holiday weekends. Where the holiday falls on the first of the month, the meeting is usually on the second Saturday of that month. Please use the listed email address for updated meeting location information.
Membership
prevnext( X )
Washington DC Metro HBCU Alumni Alliance MembershipMembership and processing fees
$259.55 Quantity

Total

$0.00
Should be Empty: