membership_application.doc

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MIT CLUB OF HARTFORD
MEMBERSHIP APPLICATION
July 2015 – June 2016
Membership Benefits:
Your career: An MIT degree may have helped launch your career, but
connections to other local alumni/alumnae can not only open up new job
opportunities, but also provide technical and business information that may
enhance your performance wherever you are right now.
Membership Levels

Basic Membership: $35
Your social life: Local MIT alums offer a level of intellectual discourse and
emotional engagement that is unique and probably well-matched to your
own personality.
Your family: Your spouse, children and friends will benefit from the
knowledge and inspiration provided by local MIT alumni activities.
Your community: Your local MIT alumni activities will put you in direct
contact with motivated learners of all ages, including K-12 students (and
their teachers!) and local achievers who have either been accepted to MIT,
have recently graduated, and even those who are attending right now!
How you can help us:
Most of all, we invite your participation. With major educational and cultural
activities happening nearly monthly, we hope to have you join us and
provide your unique insights.
We hope that you will officially sign up and renew each year at our very low
price of $35 (free for recent graduates). Those dues not only support our
club events that are free for members, but also allow local students and
their families to attend our annual Admitted Students Dinner free of charge.
All members enjoy free admission to club-sponsored events like the Toastto-IAP Pizza Party and the Summer Send-off Island Picnic.
We also encourage you to consider joining as a Partner or Patron. Besides
providing valuable assistance to our club activities and earning recognition
in our annual newsletter, you will receive free admission to premium
activities, including the Admitted Students Dinner and the food and wine
reception following the Joint MIT-Trinity College Science Lecture.
Finally, we especially ask that you consider directing your annual MIT
alumni donation to our club’s Scholarship Fund. This will benefit students
from the Greater Hartford area who attend MIT. You can either make a
direct contribution with your membership dues (see right; you will get a
written acknowledgement) or you can select the MIT Club of Hartford
Scholarship Fund (3492950) on your annual pledge form.
Contributor: $50 (Receives
recognition in Club Newsletter)
Partner: $150 (Receives free
admission to all club activities)
Patron: $250 (Receives free
admission for two to all club
activities)
Newly Graduated Member: No
charge for graduating classes of
2013/14/15.
Name ________________________
Class/Course __________________
Mailing Address: _______________
_____________________________
_____________________________
Phone Number ________________
Email:________________________
Additional Tax Deductible Contribution to
the MIT Club of Hartford Student
Scholarship Fund in the amount of
$_________________
Make checks payable to
“MIT Alumni Club of Hartford”
Please return to: C/O Leon Kaatz;
111 Oak St., Hartford, CT; 06106
Just return the form at right OR register your dues on-line at
//hartford.alumclub.mit.edu.
OR ENROLL ONLINE:
//hartford.alumclub.mit.edu
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