Lifetime Membership Submission Form Webform Recipient’s Name (as it should appear in print): Close Is this person a currently serving trustee? Close Years of service: Close College Name: Close President’s Name: Close Name and Title of Person Submitting Application: Close Submitter's Phone Number: Close Submitter's E-mail: Close Please list any additional information or special notes here: Close Is this a gift or a personal membership? Close Preferred Mailing Address: Close Date on Plaque (Month and Year): Close Close Protected by Spam Master