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NON-PROFIT ORGANIZATION U.S. POSTAGE

Virginia Western Educational Foundation P.O. Box 14007 Roanoke, VA 24038-4007

PAID

ROANOKE, VA PERMIT #78

! y oda T Join Become an Alumni Association Member REFFERED BY A FELLOW MEMBER?

Did someone refer or encourage you to join? Is so, please include this person’s name here so they can receive reward points for participating in our “I am. Are you?” Membership Campaign.

____________________________________________________

ALUMNI ASSOCIATION MEMBERSHIP APPLICATION _____________________________________________________________________________

Full Name (Please Print)

Maiden Name (if applicable)

___________________________________________________________________________________________________ Joint Member Name (if applicable) ___________________________________________________________________________________________________ Address ___________________________________________________________________________________________________ City State Zip ___________________________________________________________________________________________________ Phone E-mail I did not attend Virginia Western, but I want to join the Alumni Association as a Friend.

_________________________________________________________ VWCC Graduation Year or # of credit/hours completed _________________________________________________________ VWCC Curriculum

MEMBERSHIP TYPES $10 Annual - Single

Class of 2008 graduate - free

$20 Annual – Joint* $10 Gift Membership* ___________________________________________________________________ Given by

Address

City

State

Zip

*Membership Eligibility: Joint membership is available to two individuals living at the same address. For Gift Membership, simply fill out the form with the recipient’s information and include your name & address beside the gift membership box.

PAYMENT METHOD Check

Visa

MasterCard

__________________________ Credit Card #:

______________________________ Exp. Date

______________________________ Signature:

MAIL OR FAX COMPLETED FORM TO: Virginia Western Alumni Association P.O. Box 14007 Roanoke, VA 24038-4007 Fax: (540) 857-6370

Phone: (540) 857-8914

Or join online instantly by visiting virginiawestern.edu/alumni

Profile for Virginia Western Community College

Impact! Fall-Winter 2008  

The Virginia Western Educational Foundation is proud to bring you Impact! The Magazine of the Virginia Western Community College Educational...

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The Virginia Western Educational Foundation is proud to bring you Impact! The Magazine of the Virginia Western Community College Educational...

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