THE OFFICIAL UIC FLAMES ATHLETIC WEBSITE
Athletic Alumni Club Online Registration

Please fill out the form below to apply for the Athletic Alumni Club.

* Required Fields

First Name *

Last Name *

Home Address *

City *

State *

Zip *

Home Phone Number

Work Phone Number

Email Address *

Sport(s)

Years (YYYY-YYYY)


Check box if billing address is the same as membership address


Billing Address for Credit Card

City *

State *

Zip *


Notes

Verify characters:

You will be redirected to the UICAAC page following successful submission of this form.

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