University of Texas Medical Branch at Galveston

Physician Assistant Studies Alumni Association

Please choose the appropriate category below:

Student	$10.00

Recent (1-5 years after graduation)	$15.00

Retired or 50+ years after graduation	$15.00

Regular	$25.00

Associate Regular	$25.00
Membership level available for faculty, staff and friends of the PAS program.

Student Lifetime	$300.00
Lifetime membership level can be paid in installments.

Lifetime	$500.00
Lifetime membership level can be paid in installments.

Associate Lifetime	$500.00
Membership level available for faculty, staff & friends of PAS program. Can be paid in installments.

I wish to give an additional contribution of: $

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UTMB Office of Alumni Relations

301 University Blvd., Galveston, Texas 77555-0147
Phone: (888) 862-7111 | Fax: (409) 747-3350
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