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The University of South Alabama
MacQueen Alumni Center
100 Alumni Drive
Mobile, AL 36688
Ph: (251) 460-7084
alumni@southalabama.edu
1. Choose preset payment amount for your existing Lifetime Membership type or choose custom payment amount
Amount:
New Graduate Lifetime - Annual payment amount
$ 100.00
Individual Lifetime - Annual payment amount
$ 150.00
*Joint Lifetime - Annual payment amount
$ 250.00
Assoc. Individual Lifetime - Annual payment amount
$ 170.00
*Assoc. Joint Lifetime - Annual payment amount
$ 300.00
Custom payment amount
$
*
2. Enter member information
Annual or Monthly Payment?
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Annually
On:
Sunday
Monday
Tuesday
Wednesday
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Starting:
Installment limit is 60 months or 5 years
Installment limit is 60 months or 5 years
Comments:
Member Name:
J Number / Student Number (if known):
Graduation Year:
Maiden or other name while at USA:
3. Billing and Contact Information
Choose Title
Admiral
Ambassador
Brother
Capt.
Cmdr.
Dr.
Drs.
Father
General
Governor
Lt.
Major
Master
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Ms.
Rabbi
Reverend
Senator
Sister
The Honorable
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ZIP:
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Phone:
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Email:
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Confirm Email:
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Credit Card
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Cardholder's Name:
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Credit Card Number:
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Card Type:
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Card Expiration:
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02
03
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11
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/
2024
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Card Security Code:
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