GUNAA National Membership - Current Alumni Member

GUNAA National Membership - Existing/Returning Members

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GUNAA Member ID Number:
*Please reach out to the GUNAA Technology team if you don't know yours. Do NOT just put random #'s.
First Name *
Last Name *
E-mail*
Cell Number:*

Area Code Format: (000)Format: 000-0000
Cell Phone Number:*

Area CodePhone Number
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City*
State*
Zip Code*
Life MemberRegular MemberAssociate MemberBusiness/CorporateRecent Graduate
Paid Life MembershipChanged GUNAA ChaptersRequesting At-Large MembershipNew Contact InformationNew Mail Address
GUNAA Chapter*
** If not affiliated with a GUNAA local chapter, select "At Large" from drop down **
Birthday
Format: MM/DD
Graduation Year
Format: YYYY
Birthday(OLD)*

MonthDayYear
Format: MM-DD-YYYY
Additional Name (Life Couples Payment Only)

First NameLast Name
Additional Name Email
example@example.com
Additional Name Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Life Couple Payment - Additional Name GUNAA Chapter
** If not affiliated with a GUNAA local chapter, select "At Large" from drop down **
Additional Name Birthday
Month and Day (ex. if birthday Feb 15th, enter 02/15)
Additional Graduation Year
If Applicable
Awards CommitteeFundraising CommitteeRecruiting/High School RelationsMembership CommitteeGovernment Relations CommitteeNational ConventionSocial Committee (Bayou Classic, Homecoming, Other)Special Projects CommitteeTechnology CommitteeYoung Alumni Council Committee
Comments ( ZEFFY is another option to Pay with $0 fee!! -- go to www.zeffy.com/en-US/ticketing/grambling-university-national-alumni-association-membership)
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership Type

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National Regular Membership
$72.80 Quantity



National Associate Membership
$67.20 Quantity



Associate Membership At Large
$67.20 Quantity



National Membership At Large
$72.80 Quantity



Business/Corporate Membership
$520.00 Quantity



Life Membership - Individual
$1,040.00 Quantity



Life Membership - Couple
*Make sure information for both members of couple are captured on this form*

$1,560.00 Quantity



Life Member - Sustainability Contribution
Optional Sustainability Contribution from Life Members of GUNAA. (Make sure to indicate on membership roster form which members paid the contribution)

$21.00 Quantity



Total

$0.00
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GUNAA National Membership - Existing/Returning Members

Membership Type