Member Information Form

Membership category:
___ Regular Membership: $50
___ Classes of '05 to '09: $25
___ Class of 2010: Free

Additional Contributions:
___ Alumni Schools Committee (ASC) $___________
To help pay for Yale Book Awards, recruiting events, & receptions for applicants

Name _________________________________________________________________________________

Address _______________________________________________________________________________

Yale Class & College or School ____________________________________________________________

Current Graduate Program, if applicable _____________________________________________________

Email __________________________________________ Phone ________________________________

Comments _____________________________________________________________________________

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Thank you for supporting the Yale Club of Silicon Valley and its efforts to build a stronger community among Yale
alumni and to recruit top applicants to Yale.