2025 - 2026 MSUBA-OC Membership Form

MSUBA-OC Membership Form

Membership Year: July 1, 2025 - June 30, 2026
Current Membership Status
Name

First NameLast Name
Birthday

MonthDayYear
Date
Spouse Name (if paying for joint membership)

First NameLast Name
Spouse Birthday

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Spouse Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Spouse Email
example@example.com
MSU Graduate
MSUBA, Inc. permission to print the above information
Year of Graduation
Preferred Method of Contact (Please Select No More Than Two)
What MSUBA-OC Committee would you most be interested in being involved with? (Check ALL that apply)
Identify Your Current Membership Status
Please Select Applicable Desired New 2025-2026 Membership (Select One)
Please Select Applicable Desired Renewal 2025-2026 Membership (Select One)
Class of 2025 Graduate
Current Student
New/Renewal Annual OC Single Membership
New/Renewal Annual National Single Membership
New/Renewal Annual OC Joint Membership
New/Renewal Annual National Joint Membership
New Lifetime Single Membership
New Lifetime Joint Membership
Renewal Lifetime Local OC Single Membership
Renewal Lifetime Local OC Joint Membership
Total Amount of Membership Dues (2025-2026 Membership Year)
Total Membership Dues (Includes National Dues)

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USDMembership Dues

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

MSUBA-OC Membership Form