Pitt School Year

Address
City State Zip
Phone
Email

Employer
Job Title

Spouse Name
Spouse School (if Pitt Grad) Spouse Year

Membership Type
Member Renewal
New Member
Information Update Only

Name of other Pitt Alumni in Household
School Year

Are you a member of the University of Pittsburgh Alumni Association (PAA)?
Yes   No

What type of Club events would you like to see in the future?

How did you hear about the Pitt Club? (List Pitt Club member if referred)

Comments/Suggestions:

ANNUAL MEMBERSHIP DUES
Dues are $15 per alumnus or $20 per Pitt Family (two or more alumni living at the same address). This entitles you to newsletters, flyers, email notifications, and club sponsored events (additional fees may apply). Two-year packages are available at discounted rates.

Annual Individual - $15   Annual Family - $20
Two-year Individual - $25   Two-year Family - $30

SCHOLARSHIP DONATION
Please consider making a donation to one or both of the Club's Scholarship Funds. Dontations can be made in any amount and are tax deductible to the fullest extent allowed by law. More information on the Club's scholarship offerings can be found here.

C&P Matching Scholarship
Each year the Club awards a scholarship to a local area student, which is matched by the University in years two, three, and four. This award focuses on the best and brightest students.

Donation Amount $

C&P Pitt Club Grant Program
This award supports local area students who demonstrate financial need.

Donation Amount $

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