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info@ndseva.com
NDSEVA Membership Application

* Required field
NDSEVA membership is open to all--grads and friends.
Complete online or download pdf.
You can pay securely online, below, with a credit or debit card or e-check, or mail a check to
NDSEVA
c/o Tom Rumely
1201 Banister Ct
Virginia Beach VA 23456
Name (First, MI, Last) *
If a grad of ND or Saint Mary's, note school and grad year
Spouse's name (if applicable). Note if ND or SMC grad and year.
Names and ages of children (if applicable)
Preferred contact phone number; note if day or eve contact *
Second contact phone number
E-mail address (for NDSEVA updates only) *
Preferred mailing address (Street, City, ST, Zip) *
May we list your name in our online or printed membership directory?
(Name only, no other information given) 		Yes No
Check the type of membership for which you are applying.
You may pay securely online right now with a credit card or mail a check (see address for checks at top).
Premium Level Memberships
Include donation to NDSEVA scholarship fund. Special recognition on website and at events;
priority access to events and tickets.

Gold Level $100

 Yes No

Blue Level $50

Yes No
General Membership $25
For all other grads and all non-grad friends of UND 		Yes No
Emeritus $10
For those who graduated from ND >50 years ago and for vowed religious 		Yes No
Young Alum $10
Graduated <6 years ago Click Submit button, below, for next steps. 		Yes No
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Website initiated Jul 18, 2003.

Copyright 2003, Notre Dame Club of South East Virginia. For Club information, e-mail Club officers.
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