MEMBERSHIP APPLICATION
MEMBERSHIP APPLICATION
Purpose: The Monroe County Community College Alumni Association is organized to work corroboratively with the MCCC Board of Trustees, The Foundation at MCCC, staff, students, and the community in providing support to the mission and educational objectives of Monroe County Community College.
Purpose: The Monroe County Community College Alumni Association is organized to work corroboratively with the MCCC Board of Trustees, The Foundation at MCCC, staff, students, and the community in providing support to the mission and educational objectives of Monroe County Community College.
YES! I want to be a member of the MCCC Alumni Association.
YES! I want to be a member of the MCCC Alumni Association. Name: Maiden or previous name:
Email Address: Type of Membership:
*Must supply current email address for our records
Visa or MasterCard No: Expiration Date:
Signature:
State:
Zip:
Signature:
For more information on MCCC Alumni Association, call (734) 384-4177. Please make check payable to: Monroe County Community College
Address: Maiden or previous name: Name:
YES! I want to be a member of the MCCC Alumni Association.
Return this form to: Alumni Office 1555 South Raisinville Road Monroe, MI 48161
Purpose: The Monroe County Community College Alumni Association is organized to work corroboratively with the MCCC Board of Trustees, The Foundation at MCCC, staff, students, and the community in providing support to the mission and educational objectives of Monroe County Community College.
MEMBERSHIP APPLICATION
Expiration Date:
Expiration Date:
Amount Enclosed: Type of Membership:
Signature:
Amount Enclosed:
Lifetime (Dues: $50)
City:
Visa or MasterCard No:
Annual (Dues: $15 per year)
MCCC Student # or last 4 digits of SSN:
*Must supply current email address for our records
For more information on joining the MCCC Fitness Center, call (734) 384-4021.
Email Address:
Lifetime (Dues: $50)
For more information on MCCC Alumni Association, call (734) 384-4177.
MCCC Student # or last 4 digits of SSN:
For more information on joining the MCCC Fitness Center, call (734) 384-4021.
Amount Enclosed:
Annual (Dues: $15 per year)
Phone:
Zip:
*Must supply current email address for our records
Type of Membership:
For more information on joining the MCCC Fitness Center, call (734) 384-4021.
State:
Lifetime (Dues: $50)
Email Address:
City:
Phone:
For more information on MCCC Alumni Association, call (734) 384-4177.
Annual (Dues: $15 per year)
Zip: MCCC Student # or last 4 digits of SSN:
Expiration Date:
State:
Phone:
Visa or MasterCard No:
City:
Please make check payable to: Monroe County Community College
Address:
Type of Membership:
Please make check payable to: Monroe County Community College
Address:
Signature:
Maiden or previous name:
Return this form to: Alumni Office 1555 South Raisinville Road Monroe, MI 48161
Amount Enclosed:
Name:
Return this form to: Alumni Office 1555 South Raisinville Road Monroe, MI 48161
Visa or MasterCard No: Annual (Dues: $15 per year)
Lifetime (Dues: $50)
Email Address: Phone:
MCCC Student # or last 4 digits of SSN:
City:
State:
Zip:
*Must supply current email address for our records For more information on joining the MCCC Fitness Center, call (734) 384-4021. For more information on MCCC Alumni Association, call (734) 384-4177. Please make check payable to: Monroe County Community College
Address: Maiden or previous name: Name:
YES! I want to be a member of the MCCC Alumni Association.
Return this form to: Alumni Office 1555 South Raisinville Road Monroe, MI 48161
Purpose: The Monroe County Community College Alumni Association is organized to work corroboratively with the MCCC Board of Trustees, The Foundation at MCCC, staff, students, and the community in providing support to the mission and educational objectives of Monroe County Community College.
MEMBERSHIP APPLICATION