North Texas Exesalumni association

                                                         P.O. Box 311250

                                                       Denton, TX  76203

                                                   Phone:  (940) 565-2834

                                                 Toll Free: (800) 868-1153

     Save this form to your computer's hard drive.  Pull it up from there, fill it out,

              and email it to alumni@unt.edu as an attachment.  Thank you!

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Name: 

Address:

City, State, and Zip: 

Phone Numbers ~ Home (H), Work (W), and Cell (C)     

Email Address:

UNT Graduation Year and Major/Field of Study:       

Are you currently a North Texas Exes alumni association member?     Yes or No

If so, what type of membership do you have?  Annual Single, Annual Joint, Life Single, or Life Joint

If joint membership, please list other person's name:    

If not a member, would you like to join?   Yes or No  (If yes, we will send you information.)                        

Would you be interested in attending events of your local alumni Chapter?    Yes or No

Would you be willing to serve on the Board of your local alumni Chapter?    Yes or No

Additional Comments:       

     Thank you for your time, consideration, and dedication to the North Texas Exes and UNT!