Join or renew your Columbia Alumni Club membership by completing the information below. Annual membership fees are $25 for Columbia graduates of the last 5 years, and $40 for those of previous years



Please circle one: New Member     /     Renewal

Name: ___________________________            Title/Suffix: _______________

Home Address: ___________________________________________________

Home phone: _____________________________________________________

Employer: _______________________________________________________

Work address: ____________________________________________________

Work phone: ____________________           Email: ______________________

Profession: _______________________________________________________

Columbia School(s)/year(s): ______________________________________________

Membership fee: ___________________________________________________
($25 for graduated in or after 2003; $35 for graduated before 2003)

May we include this information in a printed directory distributed to Club members?             

We may create an online email directory. If so, may we include your name and email address in this directory?        

 

Return this application and your check (payable to Columbia University Alumni Club of Northern California) to:

Columbia Univ. Alumni Club of Nor. Cal.,
P.O. Box 2574, 
San Francisco, CA  94126-2574