Please select a membership plan * Annual Membership $40 Annual Dual Membership $65 (both alums, both spouses, and living at the same address) Lifetime Membership $400 Lifetime Dual Membership $650 (both alums, both spouses, and living at the same address) Annual Membership for Current Year Graduate (Free) Memberships are non-refundable and non-transferable. Recurring Payments I would like to make a recurring payments. A Lifetime Membeship can be paid in 8 monthly payments of $50. A Lifetime Dual Membeship can be paid in 10 monthly payments of $65. Please process my membership payment on the... 1st of the Month 15th of the Month Personal Information First Name * Last Name * Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017 Indicate name used at CSUSB if different than current name. First Name Last Name Email * Phone Number * Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Coyote ID (If Known) Major Year Additional Major Additional Year Employer Job Title Business Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Email me about events, news, and career services? * Yes No Would you be interested in volunteer opportunities with CSUSB? * Yes No I am interested in the following volunteer opportunities * Facilitating a workshop or webinar Alumni Professor for a Day Participating on a panel or as a speaker Alumni Association Board of Directors Planning Committees and Advisory Boards Chairing an Alumni Network Being an Advocate Coyote Cares Day Commencement Career Shadow Opportunity Mentoring Please indicate any affinity groups would you like to join or get additional information on. Educational Opportunity Program (EOP) Student Athletes Model United Nations Latino Asian LGBTQ Veterans African American/Black Student Ambassadors/President/Alumni Scholars What, if any, student clubs, organizations, or activities were you a member of while attending CSUSB? Member 2 Personal Information First Name * Last Name * Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017 Indicate name used at CSUSB if different than current name. First Name Last Name Email * Phone Number * Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Coyote ID (If Known) Major Year Additional Major Additional Year Employer Job Title Business Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Email me about events, news, and career services? * Yes No Would you be interested in volunteer opportunities with CSUSB? * Yes No I am interested in the following volunteer opportunities * Facilitating a workshop or webinar Alumni Professor for a Day Participating on a panel or as a speaker Alumni Association Board of Directors Planning Committees and Advisory Boards Chairing an Alumni Network Being an Advocate Coyote Cares Day Commencement Career Shadow Opportunity Mentoring Please indicate any affinity groups would you like to join or get additional information on. Educational Opportunity Program (EOP) Student Athletes Model United Nations Latino Asian LGBTQ Veterans African American/Black Student Ambassadors/President/Alumni Scholars What, if any, student clubs, organizations, or activities were you a member of while attending CSUSB? (c) 2005, 2018. Authorize.Net is a registered trademark of CyberSource Corporation Accept Credit Cards Leave this field blank Submit