Required fields are in bold.
 

First Name

 

Last Name

 

 

Is there a joint member?

 

Joint Member Name

 

 
 

Street Address

   

City

 

State

 

Zip

   

Country

   

 

  

   

Home Number

   

Work Number

 

Mobile Number

 

E Mail Address

 

 
 

Select your college:

 

Class of:

   

 

  

Type of Membership

your signing up for?

 

Payment method?

  *

Referred by?

 

 

*Please do not include and personal information such as your credit card numbers or social security number when submitting this form.

 

If you require assistance, please contact the Alumni Office

Main phone: (956) 381-2500
Office Fax: (956) 381-2385
1201 W. University Dr. UC108, Edinburg, TX 78541

 

 
 

 

 


Once an Alumnus always an Alumnus

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