Comrades of Courage - Membership Application Form


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Comrades Of Courage Membership Application Form
Only your name and eMail address are required fields, the rest are optional.
If you are a student make sure that you put your student number.

Student Number
Full Name *
eMail *
Address
City
State
Zip Code
Home Phone
Cell Phone
Class Standing	Feshman Sophmore Junior Senior Graduate
Comments

Note:Comrades of Courage accepts all applicants, no matter their sex, color, religion, orientation, or handicap status. C O C is open to all students, faculty, alumni, staff, and administration at U S A.. All personal information will be heldin the strictest confidence and used only for the purpose of contacting members with news or events.

Comrades Of Courage - Mobile Alabama 36688 (251) 533-8802

For questions or comments Contact Us

http://www.southalabama.edu/comradesofcourage