Peace Games

PEACE GAMES ALUMNI ASSOCIATION MEMBERSHIP FORM

Get back in touch with Peace Games! To join the Peace Games Alumni Association, tell us a little bit about yourself, what you are doing now, and how you would like to to stay involved. Just print the form below and send it to Peace Games.

Alumnus Name:

Contact Information:

Years Affiliated with Peace Games:

I was a former:

Other Information:
	What is your favorite quote?
	What is your favorite memory of Peace Games?

Business Information:

College Information:	Are you in School?	Yes	No

I Would Like To Volunteer and Am Willing To: (select all you're interested in)

	Serve as a member of the Alumni Association Board		Work on a Fundraising Committee
	Help to organize local Alumni events or reunions
	Serve as a Class Agent (person responsible for outreach to alumni from a specific year)

Alumni Association Activity Ideas: (please give us your opinion)

Membership Catagories:

$30 Annual Membership
(Payable in bi-annual installments of $15.00)

$300 Lifetime Membership
(a pledge of $100 for 3 years and can be paid in quarterly installments of $25)

Payment Information:

Please Bill My Credit Card:

Card Type:

Name As It Appears on Card:

Card Information:

Billing Address:
(if different from above)

If making credit card installments, indicate day of month you want card billed:

Cardholder Signature:

______________________________________________

Date:

____________

I Prefer To Write A Check:

Please Bill Me For My Membership:

Check Enclosed

Make Checks Payable to:
PEACE GAMES

Mail To:
Peace Games
Alumni Association
280 Summer Street, Mezz. Level
Boston, MA 02210

I'll complete this later Go back to Alumni Home Page