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Lubbock Area Aggie Moms Club 2022-2023
Lubbock Area Aggie Moms Membership Form
**Your Information will appear in the directory**
* Indicates required question
Email
*
Your email
Mother's Name
*
Your answer
Aggie?
*
Yes
No
Required
If yes, what year?
Your answer
Spouse's Name
Your answer
Aggie?
Yes
No
If yes, what year
Your answer
Address
Your answer
Cell
Your answer
Home
Your answer
Work
Your answer
Email Address (most communications will be through email)
Your answer
Committee Information
Please fill out the information below regarding your involvement in the club
"I would be willing to serve on a committee for the 2022-2023 school year"
Yes
No
Maybe
Clear selection
"I would be willing to help with the Aggie Picnic by helping with..."
Membership
Hospitality
Fundraising
No thanks
Other:
Clear selection
Aggie Student Information
Please fill out the information below with regards to your Aggie student
Name
Your answer
Birthday
MM
/
DD
/
YYYY
Graduation Year
Your answer
Address
Your answer
Email Address
Your answer
Cell
Your answer
2nd Aggie Student Information
Please fill out the information below with regards to your 2nd Aggie student if applicable
Name
Your answer
Birthday
MM
/
DD
/
YYYY
Graduation Year
Your answer
Address
Your answer
Email Address
Your answer
Cell
Your answer
Membership Status
Please fill out the information below with regards to your membership status within the club
Active Member Dues $40 (new and returning members)
cash
check
Square (a $2 convenience fee will be applied)
Clear selection
Associate Member Dues $10 (new and returning members)
(person other than a mother, stepmother, or guardian of current or former students of Texas A&M University)
cash
check
Square (a $2 convenience fee will be applied)
Clear selection
Ring of Honor
$10.00 (new and returning)
(Aggie Mom who has a graduate of Texas A&M)
cash
check
Square (a $2 convenience fee will be applied)
Clear selection
Additional Information
Make checks payable to: Lubbock Area Aggie Moms
Mail to Lubbock Area Aggie Moms, 7510 Quanah Ave, Lubbock, TX 79423
Questions? Email us at
lubbockareamembership@aggienetwork.com
Thank you for your interest in serving the needs of our Aggie Students!
Send me a copy of my responses.
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