BVU Alumni Membership 1About You2Contact Info3Payment This field is hidden when viewing the formAbout YouName(Required) First Last Job TitleEmployer NameEmployer Website Year Matched to Board via BVU202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993Not elected yetNot sureIf you have been matched multiple times, choose the most recent year. This field is hidden when viewing the formContact InfoEmail(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code This field is hidden when viewing the formPaymentAmount Due Price: Transaction Fee Price: $0.00 Please note that a 3% credit card fee is automatically added to the membership fee.Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name This field is hidden when viewing the formCurrent Date MM slash DD slash YYYY CAPTCHA
