Concord University Alumni Association, Inc. Membership Form

Click HERE to print this page!! Membership dues are in several catagories listed below: Please enter my name on the roster of the following club (check one). ____ Basic $10 - $24.99 ____ Maroon & Gray Club $25 - $149.99 ____ President's Club $150 - $249.99 ____ Benefactor's Club $250 - $499.99 ____ Captain's Club $500 or more ____ Life Membership $5,000 or more ____ Platinum Club $25,000 or more Name: ____________________________________ Class Year: ______ Address: ____________________________________________________ ____________________________________________________ Phone: ( ) _________________ E-mail: _____________________________________________________ For more information, contact the Concord University Alumni Association, Inc. P.O. Box 1000 College Box 83 Athens, WV 24712 Phone: 1-304-384-5348 or 1-304-384-6065 Fax: 1-304-384-6016 or 1-304-384-5165 E-mail: alumni@concord.edu