Fillable LIFETIME MEMBERSHIP APPLICATION (Nassau Community College)

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LIFETIME MEMBERSHIP APPLICATION (Nassau Community College)

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The LIFETIME MEMBERSHIP APPLICATION (Nassau Community College) form is 1 page long and contains:

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File type: PDF

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If you would like information concerning the Alumni Association, please contact the Alumni Office, at (516)) 572-7484
LIFETIME MEMBERSHIP APPLICATION
Name ________________________________________________________________________
Last Maiden First
Class Year _______________________ N Number # __________________________________
Address______________________________________________________________________
City ______________________________________ State_____________ Zip_______________
Telephone ____________________
E-mail___________________________________________
Additional Contribution:
Scholarship ____________________________________ General Fund ___________________
Additional information requested...
Employer: ____________________________________________________________________
Job Title: _____________________________________________________________________
I would like to make a contribution of $ ____________ to the Scholarship Program.
This contribution is made under my employer's Matching Gift Program.
(Please check with your Personnel Office if your gift can be doubled to the College.)
I would like to participate as an officer or volunteer for the Association. Please contact me.
DUES $50.00
MAKE CHECK PAYABLE TO:
ALUMNI ASSOCIATION OF NASSAU COMMUNITY COLLEGE, LTD.
One Education Drive, Garden City, NY 11530-6793 -
(Your cancelled check is your receipt )
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LIFETIME MEMBERSHIP APPLICATION (Nassau Community College)

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Completed 26 July 2020

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