Alumni Association Membership Form

Welcome to the Alumni Association at Governors State University. Your membership gives you valuable access to GovState amenities and services. For more information about membership benefits, CLICK THIS LINK.

Prefix

First Name

Middle Name

Last Name

Suffix

Email Address

Birthdate

Why we ask for your birthday: Your birthday helps us match your contributions to your donor profile irrespective of changes to your postal and email addresses.

Mailing Address

Country

Street

City

Region

Postal Code

I am a Governors State University Employee

I am interested in planned/estate giving opportunities.

Membership Details

Membership option

Alumni Membership: Free

Premium Membership: $100

Lifetime Membership: $15 or more per month for five (5) years as a monthly recurring payment

If you would like to give above and beyond your $15 recurring monthly contribution as a Lifetime Member, please select the additional contribution amount:

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Thank you for selecting the Alumni Members: Free

Please click the submit button.

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