OSU Alumni Club of Knox County Membership Form

The Knox County Alumni Club is looking for OSU alumni interested in joining our organization. All graduates of The Ohio State University and all other persons who have attended Ohio State are eligible for membership. Non-alumni spouses can register as associate members. You need not be a member of the Ohio State Alumni

Association, (but follow the link at the bottom to learn more about OSUAA). For more information about the Alumni Club of Knox County visit our website at www.osuknoxalumni.com or click here E-mail.

DUES: $10.00 per year for an individual or $15.00 per couple.

Dues paid now are good through September 2010.

Recent graduates of the Ohio State University are given a complimentary one-year membership.

PRINT OUT AND COMPLETE THIS MEMBERSHIP FORM

PLEASE INCLUDE INFORMATION FOR EACH OSU ALUMNUS

Name(s) ________________________________________________________________________

Address ________________________________________________________________________

City/State/Zip _________________________________________________________________

Phone number _______________________ E-Mail ____________________________________

Years you attended OSU (You need not have graduated.)___________________________

Registered Name while attending OSU (maiden, etc.)______________________________

Year(s) of graduation from OSU _____________ Spouse's year(s) _________________

Your ALUMNI ID # is located above your name on your OSU Alumni Magazine label.

Alumni ID #___________________ (If there is a second ID #__________________)

Date of membership __________________________ Enclosed dues $___________________

Make checks payable to The Ohio State Alumni Club of Knox County.

Mail this form and your check to:

The OSU Alumni Club of Knox County

P.O. Box 1301

Mount Vernon, OH 43050

Go to www.ohiostatealumni.org/membershipservices to find out about membership in the Ohio State University Alumni Association.