Alumni Contact Directory Form

Today's Date*

MonthDayYear

Alumni Name*

First NameLast Name

Graduation Year

E-mail*

example@example.com

Verify E-mail*

example@example.com

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone Number (or Home Line if Preferred)

Format: (000) 000-0000.

Definite Yes for MyselfSorry, not this year.

If attending, please provide additional information. Will you be bringing a guest/spouse/partner? If so, please provide their name.

First NameLast Name

Guest Class Year (if Applicable)

We are on the hunt for Distinguished Alumni, so that we can give attention for their accomplishments during our next event or on our Facebook page and website throughout the year. Know of someone that deserves a pat on the back? Please provide their name and contact info, if you have it! Any additional info is appreciated.

Are you bringing a Veteran? Please list their name and branch of service.

How many miles will you travel to attend the event?

50 Years or More55 Years or More60 Years or More

YesNo

What to Purchase:

Not attending the dinner, but still want your Lapel Pin? PAY TO SHIP TO YOUR ADDRESS ABOVE.

ONLY SELECT THIS OPTION if you are paying annual dues, but not attending the event.

$5.00 Quantity

Dinner - Graduate and Guests $10-15

$15.00 Dinner Selections
Item subtotal:$0.00

Scholarship Donations $25 - $1000

Please consider mailing or bringing a check made payable to the Maud Alumni Association for checks over $250. (This allows us to avoid credit card transaction fees.)

$25.00 $25-1000
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General Fund Donations $25 - $1000

Donations in this category paid for our meal in 2026, will cover add'l event expenses, etc.

Please consider mailing or bringing a check made payable to the Maud Alumni Association for checks over $250. (This allows us to avoid credit card transaction fees.)

$25.00 Please select a Dollar Value
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Total

$0.00

Alumni Membership Form