TSUNAA Membership Application

P.O. Box 1261 | Nashville, TN 37209 | www.tsu-alumni.org

Phone: 615-963-5885
MEMBERSHIP APPLICATION

Being a financial member of the Tennessee State University National Alumni Association has it’s privileges! When you pay your dues, you will be informed of national and regional events. The fiscal year for membership dues is July 1 through June 30th of every year. All regular membership dues must be paid by January 31st and expire June 30th of every year. If membership dues are paid after January 31st, your dues will be applied to the next fiscal year. Membership dues are due beginning July 1st of each year.
MEMBER INFORMATION
Salutation:*

Dr.Ms.Mr.Mrs.
Name*

First NameMiddle NameLast Name
Suffix
Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number:*

Area CodePhone Number
Alt. Phone Number:

Area CodePhone Number
Birthdate:*

MonthDayYear
Date
SCHOOL INFORMATION
1st TSU Degree:*
Year Graduated:*
2nd TSU Degree:
Year Graduated:
MEMBERSHIP INFORMATION
Please check (you may select (YAN with a new or renewal membership type)*

New MembershipRenewalYoung Alumni (40 and under)
Local Chapters:

At-Large

Nashville

Dallas

East TN

Memphis

Engineering

Greater St. Louis

South Central TN

Please click Join Now! (You will be re-routed to another webpage. If you are not a member of any of these chapters, please continue with this application.)
Region:*

AffinityFareastFarwestMidsouthMidwestNortheastSoutheastSouthwestNo Chapter
*Please note that a processing fee has been automatically included in all dues. Click submit to be directed to PayPal to complete paying for your membership dues.
Check The Membership Type Requested: (Online PayPal Processing Fees Will Be Added)*
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Regular Active: (Anyone who attended TSU)*$31.20

At-Large: (No local chapter affiliation)*$31.20

Associate: (Did not attend TSU at all)*$31.20

Millenium: (Membership is valid for 10 years)*$309.27

Life: (Lifetime TSUNAA Membership)*$772.71

Total $0.00
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MEMBER INFORMATION

SCHOOL INFORMATION

MEMBERSHIP INFORMATION