Membership Information

MEMBERSHIP INFORMATION

PLEASE WRITE YOUR FULL NAME IN THE FIRST BOX. If you are becoming an active member of the Emeriti Association for the first time, please fill in the all the information below. This will be very helpful in keeping our records current and accurate. If there are no changes in your personal information, you do not have to repeat that information. Continue reading to the end of the form for infomation on payment of dues. Finish by clicking on the SUBMIT tab at the end of the form.
Name:

Home Address:

E-mail Address:

Home Phone

Cell Phone

IT IS IMPORTANT FOR AN ASSOCIATION LIKE OURS to have its members actively participate in the important work of the Association. We hope that you will attend the fall and spring meetings of the Association. These are usually linked to outstanding musical, dance, or dramatic performances in Kasser Theater. They provide a great opportunity to meet with your former colleagues from the University. We also need our members to continue making our Association a vibrant presence at the University.

MSU Emeriti Association Dues are $20.00. Additional voluntary contributions are suggested. Please specify the amount of the voluntary contribution in the box.

Please return this form online by clicking on the SUBMIT box.

Both the $20 dues check and any separate donation check should be payable to the "MSU Foundation." The checks should be mailed to Ana Gomez, MSU Foundation, Montclair State University, Montclair, NJ 07043. IT IS VERY IMPORTANT THAT YOU WRITE "Emeriti Association Fund" ON THE MEMO LINE OF THE CHECK(S); OTHERWISE THEY WILL BE DEPOSITED IN THE GENERAL FOUNDATION FUNDS.