Penn State Chapter of North Texas

Membership Dues and Directory Information


To ensure accurate information in this year's new directory, please complete the following:

Alumni Name, e-mail address, and payment type are required fields

Current students and 2018 Graduates are eligible for a free membership.
Please contact psu.club@verizon.net for details.

Alumni Information

Spouse's Information

Name Name
Address 1
Address 2
City
Zipcode

Complete the following only if your

Spouse attended Penn State

Home Phone
Class Year   Major Class Year   Major
Graduate School Graduate School
Class Year   Major Class Year   Major
Home Town Home Town
Occupation Occupation
Employer Employer
Work Phone Work Phone
Email Address
Payment type: Cash/Check PayPayl/Credit Card Student

Dues Payment Enclosed              $ 20.00 (if paying by check)

Additional Scholarship Donation    $   (if paying by check)

Total Amount Enclosed              $  (if paying by check)

Bring cash or check to an upcoming event, or mail check payment.
The PayPal/Credit payment option will appear after clicking "Submit"

MAKE CHECKS PAYABLE TO PENN STATE CLUB OF NORTH TEXAS
MAIL TO: Chris Baldovsky (address can be found in the NTPSU directory or send an e-mail to psu.club@verizon.net)

By registering, you agree to receive periodic Chapter e-mails to communicate newsletters, event notifications, and important announcements.