Desert Illini Club
Membership Application

Fill-in the following membership application and print it using the print function on your browser.  Send the completed application to the address below with a check for $25 made payable to the "Desert Illini Club."

Name(s):
Address:
City:    State:    Zipcode: 
Class of:    Spouse's Class Year: 
Email Address: 


Mail the complete form with a check for $25 to:

Desert Illini Club
c/o Russ Andersen
1255 Sunny Dunes Road
Palm Springs, CA  92264

 

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