Membership Form

Please Enter First Name

Please Enter Last Name

Please Enter Email

Please Enter Phone Number

Please Enter Home Phone Number

Please Enter Street Address

Please Enter City

Please Enter State

Please Enter Zip Code

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Please Enter Name of Chapter Member That Referred You

Please Provide Your Graduation Status

Are you a MSU Graduate?

Please Enter Class Years

Please Provide Your Life Member Status

Are you a MSUAA Life Member?

Please Provide Your Life Membership Payment Type

Would you like to pay towards your life membership?

Please Indicate if you are paying for a significant other

Would you like to pay for a significant other's Membership?

Please fill out form for significant other

Please Enter First Name

Please Enter Last Name

Please Enter Email

Please Enter Phone Number

Please Enter Phone Number

Please Provide Their Graduation Status

Are they a MSU Graduate?

Please Enter Class Years

Please Provide Your Life Member Status

Are they a MSUAA Life Member?

Please Provide Your Life Membership Payment Type

Would you like to pay towards their life membership?

Please Select a Payment Method

Payment Method Instructions

Select Payment Method

Total

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$0

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