Gift Membership Form

Thank you for your interest in U.Va. Alumni Association membership. Please complete the following form to give membership as a gift to a family member or friend.

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Recipient Information

*Recipient Name:


 
*Recipient Address:
 
 
 


 
 

This address is a: Home    Business
School and class:
 

Membership Type

Student Membership: Life Membership (Paid-in-Full) - $350.00

Life Membership (Installment) - $450.00
    (View schedule.)

Make a payment on an existing Life Membership
    $
 
Comments:
(Please provide name of gift giver)