Louisiana Aggie Moms Club

Louisiana Aggie Moms Club

Membership Application 2025-26
HOWDY AGGIE MOMS!

This form contains required elements that help us prevent duplicate payments and submissions. In order to prevent issues, please make sure to carefully complete each section and field on the form. If you reach the bottom of the form and you do not see a "SUBMIT" button, then you are missing one of the required elements. If you must restart the form, its okay, but make sure your browser is complete closed and then restart the form from the Aggie Moms link.
How many Aggies do you have?*

Just oneI have two Aggies!My Aggies have graduated!
Membership Type*

New MemberRenewalRing of Honor (Aggie has graduated)
Which campus does the Aggie attend?*

College StationGalveston
Member Information

Please complete the following information for the member (You).
Member Name*

First NameLast Name
Member Phone Number*
Please enter a valid phone number.
Member Email*
example@example.com
Member Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Aggie Information

Please complete the following information for the Aggie.
Aggie Name*

First NameLast Name
Aggie Birth Date*

MonthDayYear
Date
Aggie's Cell Phone Number*
Please enter a valid phone number.
Aggie's Email*
example@example.com
Aggie's UIN*
Aggie's TAMU Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Aggie's Major*
Aggie's Graduating Year*
Aggie #2 Information

Please complete the following information for the Aggie.
Aggie #2 Name*

First NameLast Name
Aggie #2 Birth Date*

MonthDayYear
Date
Aggie #2 Cell Phone Number*
Please enter a valid phone number.
Aggie #2 Email*
example@example.com
Aggie #2 UIN*
Aggie #2 TAMU Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Aggie #2 Major*
Aggie #2 Graduating Year*
Membership Dues and Donations

A Selection AND Quantity is required before you may submit payments.*

Mom Yearly Dues (College Station)

$25.00 Quantity

Mom Yearly Dues (Galveston)

$25.00 Quantity

Ring of Honor Mom

(Mom of a Former Student)

$10.00 Quantity

Aggie Fall Goodie Bag

$30.00 Quantity

Aggie Spring Goodie Bag

$30.00 Quantity

Aggie Mom Club Donation

$25.00 Quantity

Aggie Goodie Bag Donation

(Donated to Aggie students who have aged out of the foster care system)

$30.00 Quantity

Total

$0.00

Credit Card

For questions or additional information, contact:

Martha Conly- Membership Chair

(318)465-3810 LAmomsMemb@aggiemoms.org

Shannon Self - President

(318)470-5866 LAmoms@aggiemoms.org

Jill Leslie - Treasurer

(504)319-2780 LAmomsTreas@aggiemoms.org
Should be Empty:

Louisiana Aggie Moms Club

HOWDY AGGIE MOMS!

Member Information

Aggie Information

Aggie #2 Information

Membership Dues and Donations

Credit Card