Panola College - Acceptiva

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for your interest in becoming a part of the Panola College Alumni Association.

The Alumni Association is available for ALL former students, family members, employees and friends of the College. Timely communication, an awareness of what is happening on campus and fellowship with former alumni all are privileges of membership in the Alumni Association.

Membership Benefits

Annual Memberships are $30 and include:

Alumni Association e-Newsletter
Special notices/invitations to Alumni and Campus events

Membership Dues

Lifetime Memberships are $200 ($300 couple) and include:

All Annual Membership Benefits
Panola College Pen and Notepad
Free T-Shirt
Free Panola College Decal

Memberships are available to:

Alumni: All former students of Panola College
Friends: Friends, family, and employees of Panola College
Students: Current students enrolled at Panola College

Membership Options

Annual Membership

$30.00

Lifetime Membership

$200.00

Couples Lifetime Membership

$300.00

Did another alumni encourage you to join?

Name of Alumni:

Donor Information:

Salutation:

First Name: *

Middle Initial:

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Home Telephone:

Work Phone:

E-mail: *

A receipt will be e-mailed to this address.

Panola College Degree/Program:

Major:

Year graduated or last year attended:

Employer:

Job Title:

T-shirt Size:

Activities/Organizations:

What activities and organizations did you participate in at Panola College?

Spouse Information:

(if couple membership)

Spouse T-shirt Size:

(if couple membership)

Your Payment Information:

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *