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PCS Welcome Osher Lifelong Learning Institute Give the Gift of Learning

Join OLLI at UAH

Want to Purchase Multiple Memberships?

Complete and submit this form using the Add Membership button for each membership then complete a single payment transaction with PayPal™ Checkout.

Give the Gift of Learning!

To purchase a gift membership please provide the recipient information on the form below; you will have opportunity to provide your payment information in a later step. Be sure to select Gift as the Membership Type - and provide a gift message!

It's Easier Than Ever!

  • Now you can join OLLI, renew your membership, or give the gift of OLLI membership securely online through PayPal™ using your major credit card. Just complete the form below, and click Add Membership.

  • An annual membership fee of $15 (plus $1 handling fee per membership) will provide yearlong benefits and the opportunity to register for courses. Membership fees are due annually, and cover a set 12 months, from June 1, 2013 to May 31, 2014.

  • Prefer to mail in your membership? Just download the printable form, and mail it in.

Please Remember: OLLI Membership and Course Registration are separate purchases. An OLLI Membership is required prior to registering for classes or attending functions.


Submit a separate form for each membership.
Membership Type:  
Membership Period:   1 year ($16) - June 1, 2013 to May 31, 2014  

2 year ($32) - June 1, 2013 to May 31, 2015  
 
Indicated Fields are REQUIRED
First Name:     required
Middle Initial:  
Last Name:     required
Preferred Badge Name:     required
 
Mailing Address:     required
 
City:     required
State:     required
Zip Code:     required
Home Phone:     required
Cell Phone:  
Email:     required
 
Gift From:  
     
Gift Message:  
 
Send me OLLI notices and newsletters by email.
 
 

All OLLI membership funds are maintained solely by Osher Lifelong Learning Institute at UAH. Submitting this form transfers users to PayPal™ for safe and secure financial processing.
OLLI at UAH is not responsible for any damage or personal injury sustained when a member is participating in any OLLI sponsored activities on or off the UAH Campus.
Membership implies permission to use your photo for OLLI publicity. If you do not want your photo used, please notify the instructor/photographer in advance.

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