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1. Enter your biographical info:
*Name:
Class of:
*Home Address:
*City:
*State:
*Zip:
*Home Phone:
Business Phone:
*Email:

2. Choose membership level:

I would like to Join Renew Membership.

DIAMOND CENTURY CLUB ($1,500) ($1230 tax deductible)

PLATINUM CENTURY CLUB ($1,000) ($880 tax deductible)

GOLDEN CENTURY CLUB ($500) ($480 tax deductible)

SILVER CENTURY CLUB ($200) ($180 tax deductible)

CENTURY CLUB ($100) ($75 tax deductible)

JOINT INDIVIDUAL AND SPOUSE ($75)

INDIVIDUAL ($50) (100% tax deductible)

FRIEND OF ASU ($50) (100% tax deductible)

Access ASU Century Club ($200) ($172 tax deductible)

Access ASU - Silver Century Club ($400) ($355 tax deductible)

If you would like to add a donation to the Alumni Association, or prefer to simply donate to the association:

3. Choose payment method:

A) Pay by Credit Card:

Credit Card Type
Card Number	Expiration Date /
Name appearing on card
I would like my membership automatically renewed each year using this credit card

5. Submit this form: