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Online Membership Application | UVa Club of Middle Tennessee



Step 1 :: Tell us about Yourself.

[Items indicated with an asterisk (*) are required]
First Name*:

Middle Name:

Last Name* / Maiden Name:

Nickname:

Marital Status:
Spouse Name:

Home Address*:

 

City*:

State Zip*

Preferred E-mail*:

No Email

Home Phone*:

Company:
Title    
Work Address
 
City: State Zip
Alternate E-mail:
Work Phone:
Degree 1 - Grad. Year:
School:    
Degree:
Major:
Degree 2 - Grad. Year:
School:    
Degree:
Major:
Degree 3 - Grad. Year:
School:    
Degree:
Major:
Recent News:

 

Membership Type:
Committees Interested In:
Membership Schools Newsletter & Website
Sports Social Young Alumni
Community Service

Step 2 :: Pay Securely Online.

You can pay your dues securely, online, via the UVa Clubs national website
(this form will open in a new window; please provide all the required information).

IMPORTANT: When you are finished, please close the UVa Clubs window
and return here to finish your membership application!

Click Here to Pay Securely Online

After making your online payment,
click the button below to submit your application:




NOTE: If you would prefer to pay by CHECK ...


... please complete ONLY THIS PAGE
(DO NOT complete the UVa Clubs' Online Payment Page)
and click the "Submit Application" button [above] to send us your information.

Then, please mail your check, made payable to the UVa Club of Middle Tennessee, to:
Rachel Settle
3818 Hobbs Road
Nashville, TN 37215

Thank you for your support of the UVa Club of Middle Tennessee!


 
 
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