#CUinCHS 2026-2027 Membership Form

1

Name* This field is required.

Prefix

First Name

Middle Name

Last Name

Suffix

2

Address* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

3

Phone Number* This field is required.

Area Code

Phone Number

4

Would you like to opt in to receive text message updates from the Charleston County Clemson Club?* This field is required.

YESNO

5

Email* This field is required.

example@example.com

6

Spouse

Prefix

First Name

Middle Name or Initial

Preferred Name

Last Name

Suffix

Is Spouse a Clemson Alumni?

7

Children

First Name

Age

First Name

Age

First Name

Age

First Name

Age

8

What is your relationship to Clemson University?* This field is required.

9

Student Information* This field is required.

Level

Field

Anticipated Graduation Year

10

Alumni Information* This field is required.(If multiple degrees, enter information for all in same fields)

Year

Level

Field

11

Spouse Information* This field is required.

Year

Level

Field

12

Parent Information* This field is required.(If multiple students, enter information for both in same fields)

First Name

Last Name

Level

Field

Anticipated Graduation Year

13

Employment Information

Employment Status

Name of Employer

Role / Occupation

Interested in our business directory?

Interested in corporate sponsorships?

14

IPTAY Information

IPTAY member?

IPTAY Number

15

Would you like to be involved with the Charleston County Clemson Club?

Stay up-to-date on club happenings

Volunteer for social events

Participate in service opportunities

Assist with social media / communications

Find ways to support current students

Recruit new members / sponsors

Serve in a board/officer position

16

Payment Type* This field is required.Individual - $25 / Family - $5

17

Membership Type

My Bag

0

Individual Membership
Membership for one individual for one year (July 01 to June 30).
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Family Membership
Membership for up to two adults and any children under 18 years of age in a single household for one year (July 01 to June 30).
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18

Payment Methods

Debit Or Credit Card

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