CONTACT INFORMATION – MVSU NATIONAL ALUMNI ASSOCIATION

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MVSUNAA Alumni Connection Card

Complete form thoroughly to ensure proper submission. All fields labeled with an (*) are required fields.

Name *

First

Last

What Memberhship are you interested in? *

Annual Member- $100 (Renews Annually)
Associate Member $100 (Renews Annually | Non Graduate, Friend of the The Valley)
Regular Life Member $1000 ( Paid $1,000/$500/or$250 for Life Members)
Sustaining Life Member $100 (Reserved for current Life Members)
Hail to Thee Giving Society (Annual Donor of $1000 or More)
White Life Member ($2,000)
Green Life Member ($3000)
Green & White Life Member ($4000)
True Green and White Life Member ($5000)

What MVSUNAA Local Chapter are a Member of? * *

Mobile Phone (For Text Messing) *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

What is/was your MAJOR area of study? * *

What year did you attend/graduate from MVSU? * *

Where are you located? or relocating to after graduation? * Your answer *

What method of communication do you prefer we use to reach you? * *

Current Employment

Job Title

Preferred communication method *

Username or Email Address

Password

Remember Me

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