Membership Form

Instructions

Please complete this form, and select your desired membership package. After you submit your membership information, follow the link on the next screen to pay for your membership in our online store. There are instructions for paying via check on the next screen as well! Go here if you prefer to print and submit this form via postal mail.

Membership Details

You do not have to be a PSU graduate to join. Everyone is welcome to join and support Penn State University.

Must be 18 years of age or older to qualify.

Membership begins July 1 and ends June 30. Individuals newly joining in January through June will have their membership take effect immediately and expire the following year at time of renewal.

Membership renewal will be held annually. Those not renewed and paid in full of the renewal deadline will have his/her membership benefits forfeited.

Current students qualify for the student membership rate through their graduation date. At the next renewal period after his/her graduation, the student must choose between an alumni or friend membership.

Membership Information

* Indicates required field

Member Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Occupation *

Employer *

PSU Major *

Grad Year *

Complete if choosing INDIVIDUAL & SPOUSE Membership

Spouse Name *

First

Last

Spouse Email *

Spouse Occupation *

Spouse Employer *

Spouse PSU Major *

Spouse Grad Year *

Membership Fees (check all that apply)

Payment

Fees *

$20 - Alumni - One Year Membership for Individual $30 - Alumni - One Year Membership for Individual & Spouse $10 - Student - One Year Membership for Student of PSU $25 - Friend of PSU - One Year Membership per Individual

Note: Please make a note of your total fees! Unfortunately our website will not provide you with a total after submitting.

Payment options *

Credit Card Check

Please contact me

I'm Interested in... *

Volunteering at Chapter Events Serving on Board of Directors or Committees

How did you hear about us? *

Submit