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I want to: Join LSUA AFA (Alumni & Friends Association)Update my LSUA AFA Information
* Your Name:
* Your Date of Birth:
* Address:
* Your E-mail:
* Phone:
Cell Phone:
Work Phone:
Fax:
Occupation:
I attended LSU Alexandria
When:
Date of Graduation:
Major:
Other universities attended and degrees earned:
Spouse's Name:
Spouse's Occupation:
Spouse's Employer:
Children's names and ages:
Other individuals we should contact about joining the LSU Alexandria Alumni and Friends Association: Please provide telephone numbers and address if you have them available.
What types of programs would you like to see the AFA offer to its members?
I am willing to assist with: AFA social eventsBolton Library activitiesLSUA reunionsMuseum activities and functionsInternet CommunicationPR/publications design and productionNetworking/career opportunitiesLSUA initiatives and funding supportNew student recruitmentAthletic support activitiesAFA travel tripsNursing Alumni ActivitiesCall on me for a committee function or leadership role
Select your preferred membership level (click [AFA Membership Levels] for details): Live Oak $1000LSUA Faculty and Staff $25/Joint $40Magnolia $500 - $999LSUA Nursing Alumni Association $30Pecan $250 - $499LSUA Parent Individual $30/Joint $40Pine $100 - $249Current student or recent graduate (1-3 years) $15/Joint $25Individual $35/Joint $60Joint AFA and Nursing Alumni $50Senior Individual $20/Joint $40
Payment: I will call and provide my credit card information to the AFA Contact Personel *I will mail a check to the AFA Association **
* To pay by phone please call: (318) 619-2917. Please note that our AFA Contact may be out of the office throughout the day and will return your call. ** To pay by mail please send a check payable to: LSUA Foundation to P.O. Box 5512 Alexandria, LA 71307
By clicking the "Submit Form" button this application will be emailed to our AFA contact. Once we finish processing your information and recieve payment your membership will be activated.