2022-23 MSUBA Membership Form

2022-23 MSUBA Membership Form
Basic Information
Name *

First Name Last Name
Spouse Name (if paying for joint membership)

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Alumni Information
What year did you graduate?
What degree did you earn/are you pursuing?

Bachelors Masters Terminal (PhD, MD, JD, etc.) Not Applicable Other
What is/was your major?
What chapter are you within 50 miles of and/or would like to be associated with? *

STOP!!! RECENT GRADS PLEASE READ!!!
Are you a Spring, Summer, or Fall 2022 graduate? If so, please click the below link to sign up for your COMPLIMENTARY ONE YEAR MEMEBERSHIP.

CLICK HERE

All others, please proceed to the next screen to select your membership level and your chapter dues (if applicable).

STOP!!! OAKLAND COUNTY MEMBERS PLEASE READ!!!
Are you a MEMBER OF THE OAKLAND COUNTY CHAPTER? If so, please click the below link to pay your national and chapter dues.

CLICK HERE

All others, please proceed to the next screen to select your membership level and your chapter dues (if applicable).

Basic Information