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Renew for 2011-12 Today!

JOIN UNI STAT FOR $35

If you choose to charge your $35 membership fee to your UBill, those charges will be processed following the start of classes in the fall.

UNI STAT Membership Application

Name : *

Anticipated Graduation Year:

Student ID Number: *

Birthdate:

Classification as of Fall '11:

Address: *

City: *

Zip: *

If you know where you'll be living in the Fall of 2011, please list that address here. If you are unsure of your plans for the fall, please list an address and contact information where you can be reached. (For example, a parent address or permanent address)

Phone: *

E-mail: *

T-shirt Size: *

Please select T-shirt size for membership t-shirt

Do you live off-campus?:

Yes

If living off campus you will be able to pick up your STAT package at the alumni house anytime after June 1st!

Method of Payment (Please choose one): *

Check: Please print this form and mail to the address below with check payable to the University of Northern Iowa Alumni Association.

U-Bill: Please enter Student ID Number below

UNI Alumni Association
Attn: UNI STAT
1012 W 23rd Street
Cedar Falls, IA 50614-0284

Student ID Number- for U-Bill payment method:

Please enter Student ID Number for U-Bill payment method.

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