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Alumni Membership Application

*Required fields

Provide your full name

Provide your date of birth (M/D/Y)

Provide your major

Provide the degree you received from USC Sumter

Provide the date you completed your degree (Month/Year)

Provide your home address (Street, City, State, Zip)

Provide your preferred phone number

Provide your preferred email address

Provide your business name

Provide your business address (Street, City, State, Zip)

Provide the phone number of your business

Provide the fax number for you business

Provide your business email

Provide full name of spouse

Provide date of birth of spouse

Provide your spouse's major

Provide the degree your spouse has received

Provide the date your spouse completed their degree (month/year)

Membership Type *

Check the box the best describes you.

Are you interested in serving as an officer or council member? *

Please check yes OR no

Are you interested in volunteering at alumni activities and events? *

Please check yes OR no

Where do you prefer to receive correspondence to? *

Please check Home or Business

Do you want to be included in the USC Sumter Alumni Association directory? *

Please check yes OR no


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