Alumni Membership Form

Membership
First Year - $5
Renewal - $20
Athens Technical College Alumni Association membership is open to all ATC graduates
and those completing one or more courses offered by Athens Technical College.
 New Member
 Renewal
Name: ________________________________________________________ Program: _______________________________
Name at graduation/attendance (if different): _________________________________
Year(s) attended (ex. ’03-’05): _______________
Address: ______________________________________________________
 Degree
 Diploma
City: ____________________ State: _____ Zip Code: _______________
 TCC
 Attended
Telephone: ____________________________________________________
Email: _________________________________________________________
(if you are a current student, please list an email address other than your student email)
Please check () all of the following positions in which you would be willing to serve:
 Committee Member  Committee Chair  Member, Board of Directors
 Officer, Board of Directors ( President,  VP,  Secretary  Treasurer)
Please offer suggestions of activities you would like to see sponsored by the Alumni Association:
_______________________________________________________________________________________________
Signature: __________________________________________________
Date: ___________________________
To become a member of the Athens Technical College Alumni Association, please submit this form along with
a non-refundable $5 membership registration fee. Make checks payable to the Athens Tech Foundation.
Following receipt of your membership form, you will receive a welcome packet from the ATC Alumni Association. Regular
membership is maintained by paying the $20 annual membership dues. Renewal notices will be sent via email (if on file)
each June. Membership year is July 1 to June 30. If you join at graduation, your initial membership will cover the
remainder of the membership year PLUS the following year. Thank you for helping build your ATC
Alumni Association!
Athens Tech Foundation  800 US Hwy. 29 N  Athens, GA 30601  (706) 425-3046
Find out more at AthensTech.edu/Alumni and Facebook.com/AthensTechnicalCollegeAlumniAssociation