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Membership Today!

Please take a few moments to complete your application for FREE membership in the Mayland Community College Alumni Association.

Prefer A Written Application?
Here is an Adobe Acrobat PDF file. Just download it, print it, fill it out and mail it in to the address at the top of the application.

Need the free Adobe Reader application to open the file? Get it here.

Questions?
Feel free to contact Linda Herbst at extension 312, (828) 765-7351 or 1-800-4-MAYLAND.

Personal Information

Application Date:

Your Name:

Year of Graduation: Degree/Diploma/Certificate:

Home Address:

City: State: Zip Code:

Home Phone: Cell Phone (optional):

E-Mail Address:

Your Career

Business Name:

Your Position:

Business Address:

City: State: Zip Code:

Business Phone: Business E-Mail:

Contact

Please contact me at my: Home Business
I prefer to receive alumni communications through: Regular Mail E-Mail

The Mayland Community College Alumni Association is considering implementing a Short Message Service (SMS) text messaging service to cell phones of campus events and other information of interest to alumni. No advertising messages will be involved. If you would like to be contacted via your e-mail address with more information about this service when it becomes available, check here .

If you would like to make a tax-deductible contribution to the MCC Alumni Association, please check the box. Someone will be in touch with you shortly.

Form Posted May 11, 2007

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Apply for Membership Today!

Apply for
Membership Today!