Membership Form

Johnson C. Smith University Alumni Chapter of Washington, DC Metropolitan Area

Membership Form

Please complete & forward the Membership Application below if you would like to either: (1) request annual membership in the Washington, DC Area Alumni Chapter of Johnson C. Smith University; or (2) receive information on our events.

First name:
Last name:
Address 1:
Address 2:
City:
State:
Zip code:
Home Phone:
Cell Phone:
Email address:
Company:
Graduation Year:
Major:
Degree Received:
Alumni Membership:
Information Request:

Once you have submitted your application & requested Alumni Membership, send in your annual membership dues ($60) to the contact below. Please make checks payable to "JCSU Alumni Chapter".

JCSU Washington DC Alumni Chapter

11806 Bishops Content Road

Mitchellville, MD 20721

Attn: Membership

"THANKS FOR YOUR INTEREST & FEEDBACK"

Washington DC Metropolitan Area Alumni Chapter of

Johnson C. Smith University