CHARLOTTE CLEMSON CLUB MEMBERSHIP FORM

Complete this online form or print & mail to: PO Box 11722; Charlotte, NC 28220

Membership Request Type:

 

Name:

Spouse’s Name:

Street Address: Employer:
City, ST, Zip Work Phone :

Home Phone :

 Graduation Year:
Email: Degree:
Major:

Spouse’s Graduation Year and Major (if applicable):

Children’s Names and Ages:

Committees of Interest (Only through your volunteering does the Charlotte Clemson Club grow stronger!):

Scholarship

Spring Meetings

Fall Meetings

Women’s Council

Young Alumni

Parent’s Council

Big Thursday

Membership

Telephone

IPTAY

High School Yield Receptions

Black Alumni Council

Viewing Parties

What events would you be interested to see in your area?

Would you be willing to host an event in your area? :

Would you be interested in becoming a leader in your club?: