Treasurer
University of Michigan Club of Greater Phoenix
30 W. Hayward Ave.
Phoenix, AZ 85021
Make check payable to:University of Michigan Club of Greater Phoenix
Spouse:_____________________________________________School Year_________
Address:________________________________________________________________
City:_____________________________ State:_________ Zip:_________________
Home Phone:_______________________ Work Phone:__________________________
Fax:______________________________
Birthday:_____________________ Spouse Birthday:______________________
E-Mail address:_________________________________________________________
Newsletter Subscription for club year July 1, 2010 to June 30, 2011..... $20.00
Scholarship Fund contribution $___________
Do you have any resources which would be of help to the club? Please explain:
_______________________________________________________________________
_______________________________________________________________________
How did you hear about the club?_______________________________________
_______________________________________________________________________
Comments, Helpful Hints:_______________________________________________
_______________________________________________________________________
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Business card advertisement in the annual directory: $25.00
Subscriptions are not tax deductible.