UCO Central STAF Student Alumni Association Application


 

Information
 

Mr. Mrs. Ms. Miss________________________________________________(_________________)

       (Circle one)                              Last                       First                     Middle                                Maiden

Mailing Address_______________________________________________________________________

City___________________________________  State_______________  Zip ____________________

Home Phone (_____)___________________  Student ID# _____________________________

Year in School (circle one):     Freshman      Sophomore      Junior        Senior       Grad Student

E-mail Address: ______________________________  T-Shirt Size (circle one):    S     M     L     XL     XXL

Payment = $15.00
 

pCheck Enclosed      pVisa      pMastercard    pCharge it to my University  account at the Bursar Counter

(payable to UCO Alumni Association)
 

Cardholder's Name as it appears on credit card: ________________________________________________

Credit Card #: _________________________________________________  Expiration Date: _____________

Cardholder Signature (required for credit card payment): ______________________________________________
 

To join Central STAF, simply print and fill out this reply form and return it with your membership dues payment to:

By Mail:

UCO Alumni Association

100 N University Drive

Edmond OK 73034

In person:

UCO Alumni House

320 E Hurd St, Edmond
(across from Thompson's Book Store at the southwest corner of University and Hurd)
 

For more information, call the Alumni Office at (405) 974-2421 or e-mail jmorgan@ucok.edu.

Alumni Office Fax = (405) 974-3887

For Office use only: IM