Membership Sign Up

Membership Type

Please understand that memberships are non-refundable and non-transferable.

Membership type
Membership

Please note, to qualify for dual membership status, both members must be alumni and living in the same household.

Member Information

First Name:

Middle Name:

Last Name:

Maiden Name:

Coyote ID (If known)

Email:

Birth Date:

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Major

Preferred Class Year:

Home Address 1:

Home Address 2:

City:

State:

Zip:

Preferred Phone Number:

Please select which type of phone number you entered above:

Please select which type of phone number you entered above: Cell
Home
Business

Employer Name

Job Title

Dual Membership

Please add spouse/partner information if signing up for dual membership. Please note, to qualify for dual membership status, both members must be alumni and living in the same household.

Is Spouse/Partner Alumni:

Spouse/Partner First Name:

Spouse/Partner Last Name

Spouse/Partner Maiden Name:

Spouse/Partner Birth Date

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Spouse/Partner Coyote ID (if known):

Select Campus

Spouse/Partner Preferred Class Year:

Spouse/Partner Major

Spouse/Partner Employer Name:

Spouse/Partner Job Title: