UMES BAC ALUMNI MEMBERSHIP FORM

UMES Baltimore Alumni Chapter
MEMBERSHIP FORM
Name *

First Name Last Name
Current address *
Email *
example@example.com
Year of Graduation
Phone Number (preferred method of contact *
Please enter a valid phone number.
Date of Birth (Month/Day)
Did you attend UMES or Maryland State?
LOCAL CHAPTER MEMBERSHIP STATUS
Please choose membership type

Regular Membership $30 Associate Membership $30 National Alumni Association Dues $30 Life Membership Dues $500
DUES PAYMENT OPTIONS

The chapter/local dues year runs from July 1 - June 30
-Personal checks mailed to :

UMES Baltimore Alumni Association

P.O. Box 26502

Baltimore, MD 21207

PayPal- umesbachawks@gmail.com

Cash App- $umesbac (Type in memo section full name/email)

Cash - only accepted in person
Dues *

Local Dues $30 National Dues $30 (Pay only on NAA website umesnaa.org)
Payment Options
Should be Empty:

MEMBERSHIP FORM