Alumni Association Membership Form

Use this form to join the Washburn University School of Law Alumni Association or to renew your membership for July 2014-June 2015.

NOTE: After you submit this form an acknowledgment page will display. You may remit payment via the methods described on the acknowledgment page (credit card or check).

Your Name
Home Address
Area Code:
  Number:
Area Code:
  Number:
Business Address
Area Code:
  Number:

Extension:
Area Code:
  Number:
Areas of Specialty / Other Information
Membership Category
FREE - Class of 2014 Complimentary One Year Membership
$25 Annually - Graduating Classes of 2011, 2012, and 2013
$50 Annually - Annual Membership
$1,000 - Life Membership
$1,000 - Life Membership ($250 per year over 4 years)

To receive an e-mail acknowledgment please provide
either a home or a business e-mail address.