Annual club dues from July '09 through June '10 are
$20.00 for singles and $25.00 for
couples ($10 of
which is allocated to the club scholarship fund.)
Dues payments made after April 1st will additionally credit towards the
following year's dues.
Note that to encourage club membership U of I graduates
from the past three years are exempt from dues, as are members who graduated 50+
years ago.
After completing this form, and clicking SUBMIT please make your check payable to the UIAC of Houston and mail it to:
Secondary
E-Mail address
(Note - while not necessary, please provide to ensure the club's ability
to contact you should your primary email become inactive.)
Address
City
State
Zip/Postal Code
Home Phone
Work Phone
FAX
Campus
Class
of (graduation year)
Degree (e.g.
B.S., M.S., M.B.A., Ph.D., etc.)
Curriculum (e.g. Chemical Engineering, Business, etc.)
Non-U
of I Class, Degree, and University
Home town, home state
High School
Employer
I am interested in serving as a club (use
the control key to select more than a single item):
I am eligible to be
exempted from dues since I graduated from U of I either within the last
three, or more than 50 years. My last U of I degree was in:
The following is optional information for married club members:
