Annual club dues cover the period from July 1, 2011 through June
30, 2012. Dues are$20
for singles and $25 for couples. Any contributions beyond this amount are
much appreciated and will be credited to the club's scholarship fund.
To encourage club membership U of I graduates from the past three
years are exempt from dues, as are members who graduated over fifty years
ago. Such individuals are nevertheless required to submit the below form, as
doing so will update your membership information and allow us to count you
as a member.
After completing this form, and clicking SUBMIT please make your check payable to the UIAC of Houston and mail it to:
UIAC of Houston
P.O. Box 542314
Houston, TX 77254
Please provide the following contact information, where
access
will be restricted to Club officers' (periodically shared with the UIAA.)Note that bold
blue labels
indicate required information. Thanks!
Member's First
Name
Member's Last
Name
E-Mail address
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 within the last three years, or more than
50 years ago:
The following is optional information for married club members:
