Rocky Mountain Harvard University Club
  Membership Application / Renewal for 2009 - 2010
(member year runs September thru August of next year)

To join or renew your membership in the Rocky Mountain
Harvard University Club, print out and complete this form.
Then mail the form along with a check payable to RMHUC to:

RMHUC c/o Ris
PO Box 40970
Denver 80204-0970

(current members just put name and any corrections below)

Full Name:        ______________________________________

School, Degree and Year:  ______________________________

Mailing Address:  ______________________________________

City, State, Zip: ______________________________________

                this is my    Home  /  Business address

Home Phone:       ______________________________________

Work Phone:       ______________________________________

Fax:              ______________________________________

Email Address:    ______________________________________

Occupation:       ______________________________________

Annual Dues, Patron level   $100.00   _________(tax deductible)

Annual Dues, Sponsor level   $75.00   _________(tax deductible)

Annual Dues, Basic level     $35.00   _________(tax deductible)

Recent Grads ('06 - '10)      $5.00   _________(tax deductible)

Current Undergrads                       FREE

College Scholarship Fund Donation      _________(tax deductible)

Summer Comm. Svc. Fellowship Donation  _________(tax deductible)

Total (Thank You!)                     _________

You can pay by check or give us your Visa/ Mastercard

    numbers: _______________________; expires __________



Page Two

 
Would you like to get our emailed calender of events?       __
  (be sure your correct email address is given above)


Like to attend or help organize these new/proposed projects?

      Community service projects (Community Builders,
      Habitat for Humanity...? other)                       __

      Young alumni group events                             __

      Business networking events                            __

      Going to sports events as a group                     __

      Participatory outdoor/sports events 
      with other alumni clubs                               __


Are you interested in joining some of these ongoing activities?

      A reading group (the Columbine Salon)                 __

      Interviewing local Harvard applicants                 __

      A movie discussion group                              __

      Editing or writing for our newsletter                 __

      Helping with club events (wine tasting, holiday party,
      dessert fling, theater events, annual dinner,
      Harvard-Yale game ...)                                __

      Satellite club events (Boulder, Colo Springs, other)  __

      Sponsoring a student "internship" at your business
      during Spring break                                   __


Other ideas you would like to see the club pursue:

______________________________________________________________