Your Details:
 
Title:
*Name:
*Street Address/PO Box:
*City:
*State:
*ZIP+Four:
*Email Address:
*Phone:
Fax:
Membership Level:
 
NEWSLINE Benefactor $5,000.00
Publisher’s Benefactor $2,500.00
College’s 1875 Founders Soc. $2,000.00
Lewis B. Parsons Soc. $1,000.00
Millard G. Roberts Mem. Sust. Soc. $ 500.00
Louise Roberts Mem. Sust. Soc. $ 400.00
Dustin B. Rose Mem. Sust. Soc. $ 400.00
O.B. Nelson Athletic Soc. $ 300.00
Charlotte Lamb Sust. Soc. $ 200.00
Vic Rail Mem. Soc. $ 200.00
Bob Tree Sustaining Mem. $ 150.00
Ben Rogers Sustaining Mem. $ 150.00
Lee Gobble Sustaining Mem. $ 100.00

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Additional Information:
 
Graduating Year:
Spouse's Name:
Employment:
Self-employed
Employed (full-time)
Employed (part-time)
Retired
Unemployed
Other...
Payment Options:
 
I will send a money order/personal check,
made payable to 'PARSONS COLLEGE NEWSLINE'
 
Please note: we currently accept only checks and money orders, but will be able to process credit cards in the near future!

 

Please note: fields marked with an asterisk (*) are required fields.