P U R O T C - Alumni and Friends of Princeton ROTC

Alumni and Friends of Princeton University ROTC
Registration / Dues / Contribution Form

Official PayPal Seal Welcome to the A&F-PUROTC Dues / Giving portal. This is a multi-step secure process that allows each of us to provide our contact information on-line as well as pay our dues and / or make a contribution to the organization.

This utility will also allow you to pay for your Reunions lunch.

If you are already a member and are just renewing your membership, CLICK HERE!

If you would like to download this form in hard-copy, CLICK HERE. After it is downloaded, print the form and fill it out. Once done, please snail mail the completed form back to us along with your check payable to the A&F-PUROTC.

Note that utilizing this on-line Giving Portal will allow you to pay via credit card, check, or a PayPal account. Please note that you DO NOT need to have a PayPal account to utilize this service.

Membership Dues:	$25.00 per year
Reunions Luncheon: (This is for the lunch served at the A&F-PUROTC meeting held on Reunions Friday)	$10.00 per person
Contribution:	$
Total:	$

Please tell us about yourself:

First Name:

Middle Initial:

Last Name:

Maiden Name:

Your name used while at Princeton if different from the above

e-mail:

e-mail2:

e-mail3:

Preferred e-mail:

Home Phone:

(xxx.xxx.xxxx format!)

Home Fax:

(xxx.xxx.xxxx format!)

Home Cell:

(xxx.xxx.xxxx format!)

Home Street Address:

Home Street Address 2:

Home City:

Home State:

Home Postal/Zip Code:

Country:

Company Name:

Position:

Work Phone / Ext.:

(xxx.xxx.xxxx format!)

Work Fax:

(xxx.xxx.xxxx format!)

Work Street Address:

Work Street Address 2:

Work City:

Work State:

Work Postal/Zip Code:

Preferred Mailing Address:

Class Numerals:

(xxxx format!)

Branch of ROTC and Service:

Participated in:

Commissioned:

Branch of Service:

Other:

Component:

Veteran of:

Comments: (Please provide a brief summary of your military service and career!)

Other ways in which I am willing to support the organization:

-- Mentoring Program
-- Sponsoring a PU ROTC Cadet
-- Activities
-- Social Events
-- Other

‘Yes!’, you may include my address and other information in your database for further e-mailings and other correspondence. This information might be shared with other AFP-ROTC members.

‘No!’, while you may include my address and other information in your database, please do not share my information with anyone else