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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
*
If Spouse is a PSU Graduate
Spouse Grad Year
*
If Spouse is a PSU Graduate
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
Penn State Alumni
Must have current, paid, in good-standing membership with Penn State Alumni Association
Current Students
May attend any campus but be from this area/have parents in Laurel Highlands area
Friend of Penn State
Open to any individual that supports PSU but may not be a graduate of PSU or an alum who is not also a member of the Penn State Alumni Association
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 tell us how you plan to pay so when know where to expect your payment.
Please contact me
I'm Interested in...
*
Volunteering at Chapter Events
Serving on Board of Directors or Committees
How did you hear about us?
*
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