MEMBERSHIP FOR 2002-2003

Thanks to the many alums who have already paid their 2002-2003 dues and are ready to join us for the events we have planned. As you know, paying your annual dues is essential and helps us bring you different events through the year. If you have not paid your dues yet, please do; we are counting on you!

$10.00    Classes of 1994 to 2002
$25.00    Classes graduating after 1994
$25.00    Parents of alumni and current students

Please print this form and send it, along with your dues payable to "The Dartmouth Club of Western Pennsylvania," to:

Ron Stoller
UPMC Cancer Pavilion, Room 597-A
5150 Centre Avenue
Pittsburgh, PA 15232

We would appreciate receiving your dues before October 31, 2002. If you have any questions, please feel free to email Julie Cillo.


MEMBERSHIP: DARTMOUTH CLUB OF WESTERN PA (2001-2002)

Name:                                                                                     Class:                          

 

Mailing Address:                                                                                                          

                                                                                                                                   

                                                                                                                                   

 

Home Telephone:         (          )                                   

 

Work Telephone:          (          )                                   

 

Email:                                                              

 

Enclosed please find my check for club dues 2002-2003:          $                                 

Make payable to The Dartmouth Club of Western Pennsylvania

 

Enclosed please find my contribution to the Dartmouth
Club of Western Pennsylvania Scholarship Fund:                       $_________________

 

Enclosed please find my contribution to the Dartmouth
Club of Western Pennsylvania Book Award Presentation:          $_________________

 

 

Please check all that apply:

 

                        I am interested in being a Book Award presenter

 

                        I am interested in interviewing applicants

 

                        I am interested in helping with events

 

______            I would like to be part of the Planning Committee for upcoming events

 

Please consider the following ideas for activities:

                                                                                                                                   

                                                                                                                                   

                                                                                                                                   

                                                                                                                                   

 

Mail to:

Ron Stoller
UPMC Cancer Pavilion, Room 597-A
5150 Centre Avenue
Pittsburgh, PA 15232