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Alumni Relations
Membership Form
All fields marked with * are required.

Member Information



Professional Information



Spouse Information


  • Spouse a KUMC Graduate ?    Yes  No

Please Tell Us:


  •  I'm a KUMC Faculty member
  •  I'm a Graduate/Resident
  •  I'm a Parent of a Graduate/Resident
  •  I'm a friend of the KU Medical Center

Payment Options, I would like to:


  •  Pay Online Using Paypal * credit card logo
  •  Pay Using A Check *

Please click "Submit" to continue with payment options.