Club Info : Membership : Printable Memberform
Austin Ags Printable Membership Form
Complete and mail to:
Capital City A&M Club
P.O. Box 332
Austin, TX 78767-0332
Address Update
(choose one)
New Address
Update Existing Address
Full Name
*
Class
Maiden Name
Spouse's Maiden Name (if Aggie)
Spouse's Full Name
Spouse's Class (if Aggie)
Applicant Email Address
*
Spouse's Email Address
Home Address (Snail Mail Address)
Apartment No
City
State
Zip Code
Home Phone
Mobile Phone
Work Phone
Fax
Employer/Company Name
We take your privacy seriously.
Please let us know how you wish to be kept informed.
Include in the Aggie Club Email List
Include me in the Texas A&M Directory Listing
Please indicate your interests below
Annual Dues
(calendar year)
$20/yr Individual
$35/yr Aggie Couple
Optional Tax Decuctible Top Kick Donation
(above and beyond dues). Only dues paying members are eligible to be Top Kick Donors. These Donors receive special recognition in the Annual Directory.
$25
$50
$100
$250
$500
I am committed to extending the Culture of Excellence at Texas A&M
. Please contact me regarding the following programs so that I can get involved!
Fish Fry
Muster
Scholarships
Advertising
Presidential Visit
Paid By:
(check one)
Check
Cash
Credit Card
Credit Card Payment
Card #:
Exp. Date (MM/DD/YY):
Signature: ____________________________
(check one)
Visa
MC
Am Ex
Dis
Total Paid:
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