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Bruin Affiliates Membership Dues


Complete the form below to join the network and pay your membership dues.


Required fields are indicated with an asterisk (*).
RSVP Information
Bruin Affiliates Membership Dues
SelectDescriptionAmount
Individual Membership - $40 per person
Family Membership - $60 per household
Sub-Total:
Tax-Deductible:
Donate to Our Scholarship Funds

If you’d like to contribute to UCLA Affiliates Scholarship or the Westwood Women's Bruin Club Scholarship please click the corresponding link to make a donation.


Grand Total:
Tax-Deductible:
 
Contact Information   

Personal
Title:
* First name:
  Middle name:
* Last name:
  Suffix:
   I am making this gift as a proxy for my organization/company, which should be recognized as the legal donor
UCLA graduation year(s):

Contact Information
* Street:
 
U.S. Addresses  
*   City, State, Zip:
Non-U.S. Addresses  
  Non-U.S. City/County
  or Province/Postal Code:
  Country:
* This address is my:
* Home telephone:
Business telephone:

* E-mail address:
* This e-mail is my:

Additional Information
 
 * Additional family member:
 * Additional family member email:

No, I do not wish to include my information on the Bruin Affiliates membership roster.
Membership information is confidential and for Bruin Affiliates internal use only.

 
Comments: 

     


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If you have any questions about your membership, please contact us at affinitynetworks@alumni.ucla.edu.
Click here to view privacy policy and disclosure statements to prospective donors. donors.
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