AM&N/UAPB National Alumni Association

UAPB/AM&N Membership Form

Complete this form to update/apply for membership.

When you have completed the form, click the "Send Information" button below. You can also print this form and mail it to:

UAPB National Alumni Association
Director of Alumni Affairs
27 Watson Blvd
Pine Bluff, AR 71601

For further information, please call either of these telephone numbers:

(870) 536-2309 (Alumni Executive Secretary)

(870) 575-8499 (UAPB Director of Alumni Affairs)

PAY MEMBERSHIP FEES ONLINE!

MEMBERSHP BENEFITS

AM&N/UAPB Alumni are invited to become members of the Arkansas AM&N College Federal Credit Union. Additional information can be obtained at the link below:

Arkansas AM&N Federal Credit Union

E-Mail: uapbfcu.sbcglobal.net

Phone: 870-534-1990

Mail: 1301 N. Spruce St., Mail Slot 4963Pine Bluff, AR 71601

Golden Lion Bookstore

10% Discount with National Alumni Membership Card

Shop the UAPB Bookstore Online

* = Required

* New Application Membership Update

Name while attending UAPB or AM&N College

Prefix:

First Name: MI Last Name :

Email:

Current Name (if different)

Prefix:
First: MI Last:

1) Year Graduated: Degree:

2) Year Graduated: Degree:

Birthday (MM/DD/YY):

Gender:

Current Address

Street 1:
Street 2:
City: State/Province:

Zip Code: Country:
Home Phone#:
Email Address:

Are you a Member of the UAPB National Alumni Association?
Yes No

Greek Affiliation:

Football Team member, etc.):

Employer Information

Employer Name:
Job Title:

Street 1:
Street 2:
City: State/Province:

Zip Code: Country:
Business Phone#:

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