Texas Tech Alumni Association Membership

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First Name: 

"First Name" is required.

Last Name: 

"Last Name" is required.

Maiden Name:

1st Degree Year:

Primary Email: 

Email

"E-mail" is required.

Confirm
"E-mail" confirmed text is required. Emails do not match! "E-mail"needs to contain a valid entry.

Your password must have

each of the above components

and be at least 12 characters.

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Moderate

Secure

Very Secure

Re-type your password. Re-type your email. Please verify your input by typing it again.

Passwords do not match! Emails do not match! Inputs do not match!

Passwords match! Emails match! Inputs match!

Phone Number: 

"Phone Number" is required.

Address: 

"Address" is required.

City: 

"City" is required.

State: 

Please Choose Alabama Alaska Alberta Arizona Arkansas Armed Forces - AA Armed Forces - AE Armed Forces - AP British Columbia California Colorado Connecticut Delaware Dist. Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Not in the US
"State" is required.

Zip: 

"Zip" is required.

Birth Date: 

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"Birth Date" is required.

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