Alumni Association Application | Mid-Continent University

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Alumni Association Application

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Annual Dues

Single Membership $20
Joint Membership $30

Lifetime Dues

Single Life Membership $350
Joint Life Membership $500

If you prefer not to apply online, you may print out an application here and send it to:

Mid-Continent University
ATTN: Alumni Department
99 Powell Rd East
Mayfield, KY 42066

Will this be a joint membership?: *

Yes

No

First Member Information

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Prefix: *

Dr.

Mr.

Mrs.

Ms.

First name: *

Last name: *

Middle name: *

Former last name, if any:

Address Line 1: *

Address Line 2:

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City: *

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State: *

Zip Code: *

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Phone: *

Email Address: *

Date of Birth: *

Did you ever attend Mid-Continent University?: *

Yes

No

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When?: *

Can we list your information in the Members-Only Online Directory?: *

Yes

No

Second Member Information

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Prefix: *

Dr.

Mr.

Mrs.

Ms.

First name: *

Last name: *

Middle name: *

Former last name, if any:

Address Line 1: *

Address Line 2:

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City: *

wf

State: *

Zip Code: *

wf

Phone: *

Email Address: *

Date of Birth: *

Did you ever attend Mid-Continent University?: *

Yes

No

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When?: *

Can we list your information in the Members-Only Online Directory?: *

Yes

No

Annual or Lifetime Membership?: *

Payment Information

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President Imhoff's Book Recommendations

Advantage Admissions: 888-MCU-GRAD (888-628-4723)
Traditional Admissions: 866-894-8878
Address: 99 East Powell Road, Mayfield, KY 42066 270-247-8521