The Princeton Club of Southern Arizona
Dues and Application Form

    Please fill out all the boxes and spaces. An E-mail message will automatically be generated to send this information to the Princeton Club of Southern Arizona office.

    Your name:

    Title First Middle
    Last

     Class Grad Alumni Year Department

    Male Female

    Occupation

    E-mail address

    Nickname:


    Home Telephone Number - -

    Home Mailing Address:


     City State

    Zip Code + 4 -

    Office Telephone Number - -

    Office Mailing Address:


    City State

    Zip Code + 4 -

    Preferred Mailing address Home Office

    I am interested in working on the following committees [Please check!]

     

    • Annual Giving
    • Membership
    • Newsletter
    • Schools Committee

    Dues, other fees, and contributions!

    Item Description Fee / Contribution
    Dues 2000 and later Free!
    1999 and earlier (cost per household) $35.00

    Total Fees

    Dues Amount  

    Additional contributions and fees: Please specify!

    Total Amount   Dues and Contributions are TAX DEDUCTIBLE

    Payment

    Please hit the SEND button below and mail your check payable to:

    The Princeton Club of Southern Arizona
    Susan Jayroe '74, Treasurer
    P.O. Box 65312
    Tucson, AZ 85728-5312

    Please make sure that you mail your check to our PCOSA Headquarters. 


    Thank you for joining the Princeton Club of Southern Arizona!

    RETURN to the HOME PAGE