Sound Machine Booster Club Membership Form

The NCCU Sound Machine
Booster Club

Post Office Box 72212 - Durham, North Carolina 27722
E-mail: Durham_Eagles@Yahoo.Com

Application of Membership


  MR.() MS.() MRS.() DR.() REV.()

NAME:_____________________________________ ____ ________

Last - First - Middle

ADDRESS: _________________________________________________

CITY:_____________________________________ STATE:_____________________________
ZIP Code:_____________________________

Home Telephone:___________________________Work:_________________________

E-mail Address:_____________________________________

Personal Web Page: http://__________________________________________

Graduation Date(s):________________________Degree(s):_____________

Are You A: New Member () - Renewing Member () - Life Member () - Student Member () - Other Type Member ()        

*Please Indicate Your Areas of Service Interest*

Student Recruitment () Fundraising () Club Membership () Club Social Activities ()
Finance () News Letter () Scholarships () Band Concerts ()
Dinner Dance () Public Relations () Alumni Band () Band Logistics ()
Other Interest ()

Basic Membership Dues:         $25.00 Per Year ()
Patron Member: $100.00 Per Year ()
Band_Wagon Member: $250.00 Per Year ()
Life Patron Membership: $500.00 Life Time()
Student Member: $10.00 Per Year ()


I Would Like To Make A Special Scholarship Contribution In The Amount Of: $______________, IN Support of the NCCU Sound Machine Bands.

I would like to Purchase or Donate a Band Uniform(s) or the following type(s) of Musical Instrument(s) for the NCCU Bands.


Please Make Your CHECK OR MONEY ORDER Payable To:
(SM Booster Club) Durham Chapter - NCCU Alumni Association.

Please Click Here
To Pay Your SMBC Membership Dues or Band Contribution OnLine


News Letter () Internet ()
News Media () Other Alumni () By Whom: ________________________(Please Specify):

For Additional Information, Please E-mail us at: Durham_Eagles@Yahoo.Com

NCCU Sound Machine Booster Club Web Site

Revised: 03-29-2001