05/20/2013

Membership Type (choose one): (?) *

	Recent Grad:	See options below Recent Grad One Year: $39 Recent Grad Three Years: $120 Recent Grad Life: $550
	Annual:	See options below Annual Individual One Year: $50 Annual Individual Three Years: $120 Annual Joint One Year: $60 Annual Joint Three Years: $155
	Life:	See options below Life Individual: $600 Life Joint: $750 60+ Life Individual: $300 60+ Life Joint: $300

Your Information:

Title:		Mr. Mrs. Ms. Other:
First name:	*
Middle name:	*
Maiden name:
Last name:	*
Email address:	*
Penn State ID#: (?)
Membership Number: (?)
Street 1:	*
Street 2:
City:	*
State/province:	*
Country:
Zip code:	*
Is this a new address?		Yes No
Home phone:	*
Business phone:
Are you an alum?	*	Yes No
If alum, graduation year:
Priority Code: (?)

You can also join by calling 1-800-548-LION and pressing "1" when you reach the voice-mail greeting.