Membership Application Form

Jax Bama Club Membership Form
New or Renew membership *

New Renew (Member Last Season)
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
Did you graduate from the University? *

Yes No
If yes, what year did you graduate?
Would you like to receive regular news and updates from the Jax Bama Club via email?

Yes No
Would you be interested in serving on the Jax Bama Club board?

Yes No
Would you be interested in volunteering for the Jax Bama Club?

Yes No
If you would like to volunteer with the club, please select which committee(s) you would like to join.

Membership Events Marketing/Social Media Scholarship Volunteer Fundraising
Select what size t-shirt you would like. Individual membership levels receive one free t-shirt; Couple membership levels include two free t-shirts *

Small Medium Large XL 2XL 3XL 4XL 5XL
If joining as a couple, please put other person's name here and relevant contact info, such as email address or phone number.
Membership Types
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1 Year Single Membership $ 35.00

1 Year Couple Membership $ 50.00
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Jax Bama Club Membership Form