Alumni and DevelopmentUAB

MBA Membership Application

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Please print this application and send it in to the address below or fill in all fields and click submit at the bottom of the form. If you choose to submit the application online please select a method of payment and follow up accordingly.

Full name (first, mi, last)
Year(s) of Graduation
UAB degrees(s)
Preferred name:
Name of spouse
(if applicable)

 
Address
Street 1:
Street 2:
City:
State:
Zip code
or country:
Telephone:
(with area code)

 

Business Information
Your title:
Business name:
Street address 1:
Street address 2:
City:
State:
Zip code
or country:
Telephone:
Fax:

May we include your information in the National Alumni Society Directory?

Yes No

Email address:
You may publish my name and business information in a password protected directory on the MBA Alumni Association Web site. Yes No

Please include FREE UAB campus parking as part of my National Alumni Society member benefits.

I am interested in being on an MBA Alumni Chapter committee and/or involved in chapter leadership.

Check all in which you would participate:

Social Gatherings

Small Networking Opportunities

Lectures with Prominent Speakers

Continuing Education with Faculty

Support MBA Scholarships

Student Recruitment and Mentoring

Career Opportunities

Sporting Events

Homecoming Activities

Frequency of Events:

Quarterly Bi-annually Annually

Suggested locations for social activities

Other suggestions or comments




Payment Information

If you plan to send in a check or money order, please enter your name in the field, check the box and click submit. Then make your check out to UAB National Alumni Society-MBA and mail it to:

UAB School of Business
Office of Development, Alumni, and External Relations
BEC 217E
1530 3rd Avenue South
Birmingham, AL 35294-4460


____Visa ____Mastercard ____ Discover

Card # ___________________ Expiration Date __________

Name as printed on card __________________________

I hereby authorize the UAB National Alumni Society to automatically charge my annual membership dues to my credit card each year in the month of _________________________

Signature of authorization: _________________________
UAB School of Business (205) 934-8800
Business-Engineering Complex 216
1150 10th Avenue South
Mail1530 3rd Ave S Birmingham, Al 35294-4460
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