GUNAA National Membership - Current Alumni Member

GUNAA National Membership - Existing/Returning Members

Complete the form below.
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*
Membership Type*

Life MemberRegular MemberAssociate MemberBusiness/CorporateRecent Graduate
Membership Changes: (*If applicable)

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
Would you like to join a National Committee? Select committees to join below.

Awards CommitteeFundraising CommitteeHomecoming CommitteeHigh School RelationsMembership CommitteePublic Relations CommitteeRecruitmentSocial CommitteeSpecial Projects CommitteeTechnology CommitteeYoung Alumni Council Committee
Comments
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership Type
prevnext( X )
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

Payment Methods

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GUNAA National Membership - Existing/Returning Members

Membership Type