SJCAA Membership Form

Please fill out this form, print and mail it with payment to:

St. Joseph College Alumnae Association, Inc.
P.O. Box 1149
Emmitsburg, MD 21727-1149 USA
or call 301.447.6052

DUES
All dues and donations are tax-deductible. In 2010 we instituted a tiered membership plan.
The "A"   $50
Allegra   $75
"All together"   $100
Sr. Mary Ellen Kelley   $150
Elizabeth Bayley Seton   $200
Other   $

*If circumstances make it difficult to send the full amount, please submit what you can afford.
DONATIONS
Additional donation to the Philanthropy Fund; apply as indicated below (if no fund is designated, the excess donation will be placed at the Board's discretion):
   
for Education  $    
to the Poor  $  
for Religious   $    
at Board's Discretion  $  
TOTAL ENCLOSED
  $
   
PAYMENT & MEMBERSHIP INFORMATION
please provide all requested information
Name:
Address:
    
City:
    
State:
    
Zip Code:
   
Phone:
    
Email:
    
Class Year:
    
Your information is confidential and will not be sold to another entity.
Check enclosed
Credit Card Payment
VISA      Mastercard
Card Number
Name on Card
Security Code
Exp date
 Signature