

Print this form and mail the completed application
to the address below.
Name:
| Individual Annual Membership | Joint Annual Membership |
| U.S. $30 | U.S. $35 |
| All other countries $35 | All other countries $40 |
|
Brown and Gold $25 Age 62 or graduated 40 or more years ago. |
Brown and Gold $30 Age 62 or graduated 40 or more years ago. |
| Individual Life Membership | Joint Life Membership |
| One annual payment $500 (U.S.) | One annual payment $650 (U.S.) |
| Two annual payments $260 (U.S.) | Two annual payments $335 (U.S.) |
| Five annual payments $110 (U.S.) | Five annual payments $140 (U.S.) |
| Please send me International Life Membership Information | |
Payment Options:
Enclose a check or money order payable to: WMU Alumni Association
Complete the following to pay by major credit card:
VISA
MasterCard
Discover
Account number:
Expiration date:
Your signature: (if you are paying by credit card)