Georgia Tech Club of Baltimore
Membership
Application
Name(s) &
Degree(s)/Year(s):___________________________________________________________
Mailing
Address:_____________________________________________________________________
Day Phone:_______________________________
Evening Phone:_____________________________
Email
Address(es):___________________________________________________________________
Membership dues for 7/1/02 to 6/30/03: $15/person or
$20/family first year alumni are
free
[Note: as we are a non-profit organization, dues will only be used to cover the costs of mailings, bank fees, to build a scholarship fund and, potentially, for minor subsidization of events for club members]
Please make check payable to the Georgia Tech Club of Baltimore.
Total Enclosed:________________
Activities or committees you want to be involved in:
1 Web page
design/web master 1 Logo design contest
1 Membership
committee 1 Young alumni committee
1 Scholarship
committee 1 Student recruiting committee
1 Activities
committee 1 Club merchandise
1 Roll Call
committee 1 Community involvement committee
1 Other
(please add comments)
Questions or comments?
Please print the form and mail or email to:
Georgia Tech Club of Baltimore
c/o Ms. Lee Marshall
6684 Ducketts Lane
Elkridge, MD 21075