Gold Membership Application

* required field

Personal Information

First Name:*

Last Name:*

Class Year:

Spouse Name:

Spouse Class Year:

Contact Information

Address: *

City: *

State/Province:*

ZIP/Postal Code:*

Primary Phone:*

E-Mail:*

Application Total:

Payment Method:

Payroll Type:

$20 will be deduction for the next pay periods.

Wepay is a third-party credit card processor that CMU uses for online payment transactions. Wepay maintains first-in-class security, is PCI compliant and uses a proprietary risk engine to protect against fraud.

If you have any technical issues with this page or questions about your submission please contact CMU Alumni Relations via email at alumni@cmich.edu or by phone at (800) 358-6903.