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256-352-8144

Alumni Association Registration

Your Full Name:

Graduation Year:

Phone:

Program :

Home Address:

City:

State:     Zip:

Home Phone:

E-mail Address:

Employer or Bus. Name:

Work Phone:

 


 

 

   $15 

Student Membership – Current full-time or part-time students enrolled at WSCC.

 

  $25  

Regular Membership – Categories of membership are listed below.

 

$

Scholarship Donation (any amount is appreciated)


 

 

$

Total amount to be mailed

Type of membership

  

Graduate – Individuals who have graduated from a certificate or degree program at WSCC.

  

Regular – Former full-time or part-time students who did not receive a certificate or degree from WSCC.

  

Associate – Faculty, staff and friends of WSCC.

 


Make check payable to:
Wallace State College Alumni Association

Mail to:

Wallace State College
Cashier's Office
P.O. Box 2000
Hanceville, AL 35077-2000

 

Copyright 2001-05 Wallace State Community College
Updated Thursday, 3 February, 2005