| Print and complete the form below (or cut and paste it into your word processing program to complete) and then mail it with your dues to the address below. |
| Name: |
| Maiden name / enrolled as: |
| Class: |
| Street Address: |
| City: |
State: |
| ZIP Code: |
| Country: |
| Home Phone #: |
| *Work Phone #: |
| *Email Address: |
| *Website: |
| Date of Application: |
| Do you wish to receive mailings from ISM? ___Yes ___No |
| Comments: |
| Dues: US $25 for US Addresses; $35 for all others |
| + Optional* Donation (maraming salamat !): |
| Total check enclosed : |
| Note: * = optional Please consider giving us a donation! Your dues do NOT cover our expenses. We rely on your generosity to continue to serve you and your fellow alumni. Questions? Send us an email. Maraming salamat! Mail this form and check (payable to AISAAM) to: |
|
AISAAM |
