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Calendar 2001/2002

Become a Member: Charter Membership

Charter Membership Application
Please complete this form, print it, and mail it with payment to:

Raiders Rojos National Alumni
Texas Tech Plaza, 1901 University Avenue, Suite 504A
Lubbock, TX 79410

Charter Membership Application
Please check one of the following options: New Member Renewal
I want to become a charter member of Raiders Rojos
Enclosed is my check for:
Please make checks payable to Raiders Rojos National Alumni.
If your employer has a matching gift program, please include the appropriate form.
Please provide the following personal information to ensure accurate records.
Name:
Class year (if applicable):
Address 1:
City, State
Zip Code:
Home Phone: Work Phone:
E-Mail:
Social Security Number or
Student Identification Number
My spouse joins me in making this gift. (Both names will appear on name plate.)
Spouse Name:
Class year (if applicable):
Charter memberships in memory of loved ones are also accepted.
Name(s) requested on name plate if different from above:
   
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