Membership Application Form

Jax Bama Club Membership Form
New or Renew membership*

NewRenew (Member Last Season)
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Did you graduate from the University?*

YesNo
If yes, what year did you graduate?
Would you like to receive regular news and updates from the Jax Bama Club via email?

YesNo
Would you be interested in serving on the Jax Bama Club board?

YesNo
Would you be interested in volunteering for the Jax Bama Club?

YesNo
If you would like to volunteer with the club, please select which committee(s) you would like to join.

MembershipEventsMarketing/Social MediaScholarshipVolunteerFundraising
2022 Membership will get you a club t-shirt. Select your preferred t-shirt size. An individual membership will get one shirt and a couple membership will get two shirts.*

SmallMediumLargeXL2XL3XL4XL5XL
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