Join the Lowcountry Crimson Tide Chapter today!



Membership Information (Yearly)
		



Contact Information
Membership #1 Name: ___________________________________________________

Membership #2 Name: ___________________________________________________

Address:  ______________________________________________________________

City: ____________________ State: ______________ Zip: _____________________

Member #1 Preferred Phone Number: ____________________________________

Member #2 Preferred Phone Number: ____________________________________

Member #1 Preferred Email Address:  ____________________________________

Member #2 Preferred Email Address:  ____________________________________

Member #1 Employer / Profession:      ____________________________________

Member #2 Employer / Profession:      ____________________________________

Member #1 Work Zip Code   _________ Member #2 Work Zip Code   _________
(Info will be used to help plan alumni events in locations convenient to our members' place of employment)

 
 
I / We are interested in volunteer opportunities in areas such as Event Planning______ Trips to Away Games______ Football banquet ______ Student Recruitment ______ Networking Opportunities ______ Scholarships______
Other ______________________

The following company may be interested in learning more about sponsorship opportunities for Alumni Chapter Events
Company Name: __________________________________________
Payment Information:

Check - Make payable to the Lowcountry Crimson Tide Chapter


Please return this form and your payment to:
Ron Chambers - (Secretary  - Lowcountry Crimson Tide Chapter)
104 West Park Lane
Summerville, SC 29483
ph: 843-821-2268

Thank you for your support of the Lowcountry Crimson Tide Chapter
Visit us at www.charlestonbamachapter.com