Please use form below or request one from [email protected]
Penn State Club of Greater Tucson September 2020 – August 2021 Membership Form
Alumni and their spouses, friends, and parents of students are welcome to join the Club. Membership costs $15 for an individual or a family.
As a nonprofit organization, we would gratefully accept any additional amount you would care to donate to our fund that benefits local students attending Penn State. Since we realize it may not be possible to raise funds throughout the year, we are hoping that you may consider an upfront Student Donation. A $20 donation by each member would allow us to continue supporting students a the $300 level without any additional fundraising.
Please fill out and mail this form with your check made out to “PSAA Tucson Chapter,” to our treasurer, Bob Landis at 1604 E. Crown Ridge Way; Oro Valley, AZ 85755. Renewing members please be sure we have your correct postal and email addresses. Informationin the first few lines – in bold type – is required.
Enclosed $_______ for membership $________ to benefit student fund
Name____________________________ Spouse’s name__________________________
Address_______________________________________________________________
City____________________________ State______________ Zip_________________
Phone_____________________ Email______________________________________
Are you a PSU graduate? (circle) Yes No
Year_________ Undergraduate school__________________________________
Year_________ Graduate school______________________________________
Is spouse a PSU graduate? Yes No
Year_________ Undergraduate school__________________________________
Year_________ Graduate school______________________________________
Business Information (Please complete if applicable.)
You Spouse
Firm’s name _______________________ ___________________________
Nature of business _______________________ ___________________________
Position with business _______________________ ___________________________
Business address _______________________ ___________________________
Business phone _______________________ ___________________________
Do you belong to the Penn State Alumni Association? Yes No
Does your spouse? Yes No
[ ] Check here if you or your spouse would be interested in helping with club activities
[ ] Check here if you or your spouse would be interested in serving on the board. WE NEED YOU!
If you have any questions or ideas for events, please call Jay Knoll at (520) 425-0920.
Alumni and their spouses, friends, and parents of students are welcome to join the Club. Membership costs $15 for an individual or a family.
As a nonprofit organization, we would gratefully accept any additional amount you would care to donate to our fund that benefits local students attending Penn State. Since we realize it may not be possible to raise funds throughout the year, we are hoping that you may consider an upfront Student Donation. A $20 donation by each member would allow us to continue supporting students a the $300 level without any additional fundraising.
Please fill out and mail this form with your check made out to “PSAA Tucson Chapter,” to our treasurer, Bob Landis at 1604 E. Crown Ridge Way; Oro Valley, AZ 85755. Renewing members please be sure we have your correct postal and email addresses. Informationin the first few lines – in bold type – is required.
Enclosed $_______ for membership $________ to benefit student fund
Name____________________________ Spouse’s name__________________________
Address_______________________________________________________________
City____________________________ State______________ Zip_________________
Phone_____________________ Email______________________________________
Are you a PSU graduate? (circle) Yes No
Year_________ Undergraduate school__________________________________
Year_________ Graduate school______________________________________
Is spouse a PSU graduate? Yes No
Year_________ Undergraduate school__________________________________
Year_________ Graduate school______________________________________
Business Information (Please complete if applicable.)
You Spouse
Firm’s name _______________________ ___________________________
Nature of business _______________________ ___________________________
Position with business _______________________ ___________________________
Business address _______________________ ___________________________
Business phone _______________________ ___________________________
Do you belong to the Penn State Alumni Association? Yes No
Does your spouse? Yes No
[ ] Check here if you or your spouse would be interested in helping with club activities
[ ] Check here if you or your spouse would be interested in serving on the board. WE NEED YOU!
If you have any questions or ideas for events, please call Jay Knoll at (520) 425-0920.