ALUMNI MEMBERSHIP
- Membership is for one year.
- A matching gift may be combined with a personal gift to meet requirements for category desired.
- All gifts are tax deductible.
- Annual dues are $25.00 per person or $40.00 per couple.
- Lifetime dues are $100.00 per person or $175.00 per couple.
ALUMNI MEMBERSHIP APPLICATION
Please type your information into the following application. Once you have typed in all of you information, print this page and mail it along with your check to the following address.
Northeast Development Foundation
Alumni Association
101 Cunningham Blvd.
Booneville, MS 38829
Please provide the following contact information:
| First Name | |
| Last Name | |
| Middle Initial | |
| Maiden Name | |
| Title | |
| Spouse’s Name (if Alumni, give maiden name) | |
| Organization | |
| Home Phone | |
| Work Phone | |
| FAX | |
| URL | |
| Address | |
| Dates Attended NEMCC |
Special Groups you were a member of (ex. Band, Athletics, Student Council, Annual Staff, etc.)
Please tell us what you are doing now for our alumni news.
Choose any of the following membership levels that apply:
$25 Single – (yearly)
$40 Couple – (yearly) $100 Single – (lifetime) $175 Couple – (lifetime) Please indicated the exact amount of your contribution.
$
Enter today’s date in the blank provided :
Thank you for joining the Alumni Association.
For more information about the Alumni Association or the Northeast Development Foundation, please call Patrick Eaton at (662) 720-7165 or e-mail Patrick at peaton@northeast.ms