WACO/McLENNAN COUNTY AGGIE MOMS CLUB 2010-2011
MEMBERSHIP FORM MEMBER INFORMATION
New member___Renewing memeber___member since _____________
Aggie Mom's Name: ____________________________________A&M Class of ________
Spouse’s Name: ______________________________________A&M Class of ________
Mailing Address: _________________________________________________________
City, State, Zip ____________________________________Home Phone:___________
Cell Phone: ________________________________
We contact all members by email! Please Print Clearly
Email Address: ________________________________
CHILDREN CURRENTLY ATTENDING TEXAS A & M
Child’s Name: ___________________________________________ Birthdate: ________________________ Complete Mailing Address: _________________________________ Class of: _________________________
E-Mail:_________________________________________________ Phone # _________________________
Child’s Name: ___________________________________________ Birthdate: _________________________ Complete Mailing Address: _________________________________ Class of: _________________________
E-Mail:_________________________________________________ Phone # _________________________
Child’s Name____________________________________________ Birthdate: _________________________ Complete Mailing Address: _________________________________ Class of: _________________________
E-Mail: ________________________________________________ Phone # _________________________
OTHER TEXAS A & M GRADS IN YOUR IMMEDIATE FAMILY
Name/Relation: _________________________________________ Class of: _______________________________ Name/Relation: _________________________________________ Class of: _______________________________ Name/Relation: _________________________________________ Class of: _______________________________ OUR ABILITY TO AWARD SCHOLARSHIPS DEPENDS ON YOUR PARTICIPATION!!!
PLEASE CIRCLE THE COMMITTEES/EVENTS THAT INTEREST YOU
Hospitality Committee __Yearbook__ Auction __Exam Pack Committe __Officer__ Fall Boutique__ Spring Boutique___
Annual membership fee is $20.00. No cash by mail please!
Please make check payable to Waco/McLennan Co. Aggie Moms Ck/Ck# __________
Please return payment with completed form to:
Pam Kosarek
8214 Woodcreek
Waco, TX 76712
(To print form and mail, highlight form and print selection)
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