UMES BAC ALUMNI MEMBERSHIP FORM

UMES Baltimore Alumni Chapter, Inc.
MEMBERSHIP FORM
Name*

First NameLast 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 $30Associate Membership $30National Alumni Association Dues $30Chapter 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 Chapter, Inc.

P.O. Box 26502

Baltimore, MD 21207

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

Cash - only accepted in person
Dues*

Local Dues $30National Dues $30 (Pay only on NAA website www.umesnaa.org/join)
Payment Options
Credit Card Checkout ONLY
prevnext( X )
Local Dues$30.00 plus processing fees. Dues are not automatically renewed.
$31.50 for each year

Chapter Life Membership Dues$500.00 plus processing fees. This is a one-time fee.
$515.50 for each year
Should be Empty:

MEMBERSHIP FORM