Individual Member Application

Please complete this form to sign up and pay your $35 chapter dues online.

If you are having functionality issues completing this form, or you have questions, please email us.

Name & Contact Information

* First Name

* Last Name

* Preferred Phone Number

* Is this a Cell ? Indicate if the phone listed above is a Cell Phone

* Email Address An alternate email address can be added when reviewing your member profile

* Mailing Address

Mailing Address Line 2

* City

* State

* Zip

Employer

Job Title

Business Website

Other Family Member Enter name of a Spouse, Partner, or Child that is not listed as a Student below

Other Family Member Relationship Enter relationship to Family Member listed above

Networking Information

Bama Houston is committed to building a strong network of local alumni, parents, and fans. Please answer the following questions so we can connect you with similar members or prospective students.

* Select all that apply

University of Alabama Alumni
University of Alabama Parent
University of Alabama Student
UofA Friend/Fan

Academic Major at UA

Graduation Year Actual or Projected

Additional UA Degrees & Graduation Year/s

If you selected Alabama Parent for the list above:

Student Name

Graduation Year

Student Name

Graduation Year

Student Name

Graduation Year

Additional Information (service/involvement at UA, years attended if not a graduate, if you have children who are UA graduates, referral for membership with contact information, etc)

Volunteer Opt-in

Donate your time to support our chapter and meet other great Bama fans too. We have a variety of short-term, seasonal, and on-going volunteer roles. May we reach out to you for potential opportunities?

Select all that apply.

Yes. I am interested in helping with fundraising activities to support chapter scholarships.
Yes. I am interested in helping with networking, socials, and/or community service activities.
Yes. I am interested in opportunities to support the chapter in the areas of administration/communications/other.
Yes. I am interested in student-focused volunteer opportunities to support prospective and current UA students.

Skills/Specific Areas of Interest Please list any other Skills or Areas of Interest you'd like to share with the chapter

User Comments Please add any other thoughts or comments not captured above.

Members Log In
Bama Houston ID:

Password:

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Individual Member Application

Please complete this form to sign up and pay your $35 chapter dues online.

Name & Contact Information

Networking Information

Volunteer Opt-in

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