Young Alumni Membership Form

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You're One Step Closer.

Unlock exclusive access and select perks—while also supporting programs for students and alums—with a membership to the NCCU National Alumni Association, Inc. If you have graduated in the last 10 years, then your first year's membership is reduced to $35, a one time price good for one year.

Membership is valid from July 1 through June 30.

ENROLLMENT FORM FOR ONE TIME ONLY YOUNG ALUMNI MEMBERSHIP

Email Address*

Salutation*

First Name*

Middle Name

Last Name*

Suffix

Address, line 1*

Address, line 2

City*

State*

Zip Code*

Cell Phone*

Home Phone*

Information About Graduation or Years Attended NCCU

Yrs Attended or Yr Graduated*

First Degree*

Degree & Majors*

Other Interest Groups (Divine 9, Band, etc.)*

Provide Your Payment

Name
Address Line 1, Address Line 2
City, State Zip Code
Cell Phone
Contact Email

Thank you for signing up!