LSU-Austin Alumni Chapter Membership Form

Membership is open to anyone who bleeds purple and gold! Please send with your $10 check, payable to LSU Austin Alumni Chapter, to Lauren Boyd, 7201 Wood Hollow Dr #444, Austin, TX 78731. This information will be used for our member directory . Dues are valid from January through December.

CURRENT INFORMATION

___ $10 per Member Name: _____________________________________________________

Maiden Name: _________________________Spouse’s Name __________________________

Children's names and ages: _______________________________________________________

Home address: ________________________________________________________________

City _________________________State: _____________________Zip: _________________

Preferred e-mail: ______________________________Home phone: _____________________

Company Name: _______________________ Department: ____________________________

Does your company list jobs online? ___ No ___ Yes, here's the URL: ___________________

How long have you lived in Austin? _______Where did you move here from? _____________

ALUMNI / ALUMNI-BY-CHOICE INFORMATION

Hometown (please include state): ________________________________________

High school/city/state and year of graduation: ________________________________

Are you an: _____ LSU Alumni or ______ LSU "Alumni by Choice"

If "Alumni by choice", other college(s) attended: _____________________________

Years attended: ____________ Degree and Year: __________________________

While at LSU, list any affiliations: (Sports, clubs, sorority/fraternity, band, etc.)

_____________________________________________________________________

UPDATES

List any major changes in your life in past 12 months: (marriage, births, job/career changes)______________________________________________________________

_____________________________________________________________________

JUST FOR FUN (We’ll share these results in our chapter newsletter)

If your job was available in Louisiana, would you move back? __ Yes __No __NA

Describe the oddest/strangest roommate that you ever had: _____________________ _____________________________________________________________________

Favorite Restaurant in Austin: _____________________________________________

Most exciting football game you attended: ___________________________________

Favorite memory of LSU and why: _________________________________________

HAVE A BUSINESS? Tell your fellow Austin Tigers about it for just twenty-five bucks!

___ - $35: Check here if you would like to have your business card printed in our newsletters and mailings that we send out to our members during the year. Please attach your business card, or list your info else where, and include an extra $35 with your $10 membership fee! (Note: Cost for non-members is $60. Your card will be included in any mailings from February current year and January next year.

TOTAL ENCLOSED: $_________, CHECK #: _________, DATE: _____ OR CASH

(Chapter use only: Check #: _______ Ck. Date: _____ Email: ___ Spreadsheet: ____ Directory: ____ Web: ___ LSUAA: ___)