Yes, I would like to (re) join the Harvard Varsity Club!

Full Name: _____________________________________________________Class Year: ___________

Address: ___________________________________________________________________________

City, State ______________________________________ Zip: _______________________________

Email: _______________________________________ Phone: ______________________________

I earned a Major H and/or a Minor H in (sport): ___________________________________

Career Services Program

Yes, I am willing to take part in the V-Club's Career services Program. This involves discussing vocation options to undergraduate and recent grads without obligation of employment.

Occupation/Field: __________________________________________________________________

Job title/Company: _________________________________________________________________

2007-08 Dues Structure:

 Class  Annual Dues
 Undergraduates  No Dues
 2003-2007  $ 50
 1998-2002  $ 75
 1993-1997  $ 100
 1963-1992  $ 125
 1962 & earlier  $ 100
 Associate Members  $ 125

Additional Contribution (in addition to dues)

Every contribution (above dues level) is greatly appreciated and will be recognized in a future issue of News & Views. All contributions above dues are 100% tax deductible.

Payment

Check Enclosed

Charge my ____ Visa or ____ Mastercard

Card #: __________________________________________________ Exp. Date ________________________

Total Dues: _________________________

Total Voluntary Contribution: ________________________

Total Enclosed: ________________________

Please make checks payable to Harvard Varsity Club

Send form and check to The Harvard Varisty Club, 65 N. Harvard Street, Boston, MA 02163