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The University of Texas at Tyler
Alumni Association

UT TYLER ALUMNI REGISTRATION FORM


* 12-month single membership: $25.
* 12-month joint membership: $35(both must be UT Tyler Alumni to purchase a joint membership).
* Lifetime single membership: $725.
* Lifetime joint membership: $725.
* New graduate within the last 12 months: FREE (for a limited time only!).


*Title:
*First Name: Please enter your first name.
Middle Name:
(Maiden Name):
*Last Name: Please enter your last name.
*Email: Please enter email.Please valid email.
* I Just Graduated within 12-months:
* Graduation Year:
* Degree:
*Major:

Are you currently employed?
*Employer Name:
*Job Title:
*How long have you worked here?
Please select the industry category that best represents your field of work.  If the proper industry is not listed, please select “Other”
*Select Industry:
*If other, enter industry here:
 

* Required Fields

 

 

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