Prince
George’s Community College
M2057
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APPLICATION FOR ACTIVE
MEMBERSHIP
|
*Email or fax this form to: |
I wish to activate my membership so I can participate in
Date:_____________________ Course
of Study/Major________________
First Name: ____________________________
Last Name: ______________________
Home Address:
__________________________________________________________
City/State/Zip _________________________________________
Apt. ______________
Email Address (Please print): _______________________________________________
Home or Work Phone: __________________________ Cell:
______________________
How did you learn about the collegian center? If your professor, what is his/her name?
What type(s) of business or accounting related events would
you like to experience as a member of the