UCA MARKETING CLUB
DEPARTMENT OF MARKETING & MANAGEMENT
UNIVERSITY OF CENTRAL ARKANSAS
CONWAY, AR 72035

http://www.business.uca.edu/studorg/mktgclub/

Student Membership Application

Last Name: _______________________             First Name: ________________________

Address While Attending UCA: ________________________________________________

City: ____________________  State: ____________   Zip Code: _____________________

Home Address: _____________________________________________________________

City: ____________________  State: ____________  Zip Code: ______________________

Telephone Number While Attending UCA: ____________ Home Phone: _______________

E-mail Address(s):

Primary E-mail: _____________________________________________________________

Other E-mail:   ______________________________________________________________
Note: Please write your E-Mail address legible. E-mail is the primary means that Marketing Club officers use to keep members informed of upcoming events.

Academic Standing ___ Fr     ___ So    ___Jr      ___ Sr    ___ Grad

Expected Graduation Date: ___________ Month ___________Year

DUES are $20.00 per year:    Paid ____ Fall    ____ Spring

Date of Application for Membership in the UCA Marketing Club: ________________________

Note: To be a member of the UCA Marketing Club you must first become a collegiate student member of the American Marketing Association.