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)