BMCC Alumni & Friends Membership Application

Form to submit request to join the BMCC Alumni & Friends

Full Name: * (first, middle, last, suffix)

Spouse:: * (first, middle, last, suffix)

Family Members: *

Street Address: *

City, State, Zip: *

Home Phone: *

Work Phone:

Cell Phone:

Email:

Your Student Association:

Your Other Association:

What have you done since then?:

Membership Level: *

Lifetime Member $150

Annual Member $25/yr

General Member N/C

You will receive communications from the alumni association to arrange payment of membership dues.

Other ways to be involved:

Would you be interested in volunteering to help with events?

Would you be willing to share your story in our newsletter?

Would you be willing to help us look for your BMCC friends?

Blue Mountain Community College