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Membership Form
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First Name
Last Name
Maiden Name
Phone
WTH Class Month
Class Year
Status
Student
Faculty
Staff
From Year
To Year
Email
Address
City
State
Spouse First Name
Spouse Last Name
Spouse Maiden Name
Spouse Class Month
Spouse Class Year
Please select one of these below
New
Renewal
Honorary
Gift Membership
Donation amount
Length
1-Year
3-Years
5-Years
Single
$10.00
$25.00
$40.00
Joint
$25.00
$35.00
$55.00
Lifetime
Crimson & Gray (Lifetime)
$125.00
Credit or Debit card
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