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Notre Dame Club of Dallas Signup Form
Membership Type * ($20.00)
Membership for ACE Teachers- 2012
($20.00)
Membership for Parents of current students - 2012
($40.00)
2012 Blue Level Memebership
($70.00)
2012 Gold Level Membership
(free)
Honorary Club Membership for special guests as well as Alumni that graduated 50 or more years ago
(free)
Students graduating in 2012 have the option to join for free in 2012
(free)
This membership option is open to Current Students attending the University in 2012
(free)
If you do not wish to join the club at this time, you can enter your information here and we will add you to our email list.
()
Donation to the Notre Dame Club of Dallas Scholarship Fund for 2012
()
Fund to help defray costs for the Club's Summer Service Intern Program for 2012
($175.00)
Full Page Ad in the 2012 Club Directory
($85.00)
Half Page Ad in the 2012 Club Directory
($55.00)
Business Card Ad in 2012 Club Directory
Payment System *

Your Name *
Your First & Last name
Your E-Mail Address *
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Connection to Notre Dame




Current Student Name(s)
If Parents of Current Students, enter their names here
Target Graduation Date(s)
Enter respective graduation date(s) of current students
Maiden Name (if ND Grad)
Enter your Maiden Name
Spouse's Name
Spouse's first name only
Home Phone Number *
Home Phone Number Area Code + number
Mobile Number
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Work Number
Fax Number
Fax Number Area Code + number
ND Degree
Notre Dame Degree
Graduation Year
Enter the Year you graduated from Notre Dame
ND Degree 2
Second ND Degree
Graduation Year 2
Year of graduation for second degree
Employer
Position
Title or Position
Directory Advertising
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