Membership

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1.

Ship To

First Name*

Last Name*

Spouse's Name

Address*

City*

State*

Postal Code*

Country*

Email*

Home Phone*

Cell Phone

2.

Auburn Graduation Year

3.

Member Auburn Alumni Association?

	Yes
	No

4.

Family Member Attending Auburn?

	Yes
	No

5.

Type Membership

	Single $20.00
	Family $35.00

6.

How did you learn of the Cullman County Auburn Club

7.

Would you like to be considered for a Committee position?

	Yes
	No

8.

Would you like to be considered for an Officer position?

	Yes
	No

9.

Suggestions for growth / activities / fund raising / etc

10.

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Ship To

Auburn Graduation Year

Member Auburn Alumni Association?

Family Member Attending Auburn?

Type Membership

How did you learn of the Cullman County Auburn Club

Would you like to be considered for a Committee position?

Would you like to be considered for an Officer position?

Suggestions for growth / activities / fund raising / etc

Spirit of Auburn Card!

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