The Meadows
4645 West Campus Dr.
Allendale, MI 49401

Phone: 616-331-1000
Fax: 616-331-1002
meadows@gvsu.edu

Alumni Membership Application

Please fill out and submit the form below for your Alumni Membership.

Please provide the following contact information. Required fields are indicated by an *.

Contact Info
First Name *
Last Name *
Street Address *
Address (cont.)
City *
State/Province *
Zip/Postal Code *
Phone Number * (xxx-xxx-xxxx)
Email *
Membership Type

Please indicate your choice of membership level from the attached description.

Price Each Quantity
Alumni Membership $1075.00
Alumni Membership additional family members: Spouse & Dependents Only $375.00
Family Alumni Membership $2100.00
Cart Membership $500.00
Cart Membership additional family members:
Spouse + Dependents Only		 $300.00
Names for additional Memberships:
Comments
Copyright © 1995 - 2013 Grand Valley State University is an Equal Opportunity/Affirmative Action Institution