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Preferred Announcement Service – In addition to our
regular monthly Newsletter, Please specify
your preferred contact method for special members-only events and
event reminders. (Your use of Email helps the Club control
operating costs – Your Email address will be held confidential):
[_] E-mail :
[_] US Postal Service [_] FAX:
Please circle preferred fax receive times: Day Evening
Overnight No Preference |
[_] Benefactor,
$200+
[_] Sustaining, $100+
[_] Patron, $50+
[_] Regular, $25
[_] MIT5 Recent Grad (’05-’10), $5
[_] Parents (per household per year), $25
[_] Parents MultiYear (per household for 4 years), $40 one time payment
Extra Contribution to
Leadership In Education (LEAP):________ |
