Application Form

The following persons are eligible for membership
(1) Graduates of Harvard University.
(2) Other persons who have worked at Harvard University as members of one of the faculties.
(3) Other persons who have studied at Harvard University but not obtained a degree there from. Generally such studies will not be of less than six (6) weeks duration.

The following persons are eligible for associate membership
(1) Those who have completed a minimum one (1) week program taught by Harvard faculty on the Harvard campus or in Australia
(2) Those currently studying at Harvard University

Surname Surname Required		HONS
Given Name Given Name Required
School School Required
Degree Degree Required		Title Title Required
Email Email Required Invalid Email		Year Year Required

Home Address		Work Address
Address A Home Address A Required		Position
Address B		Company
City/Suburb City/Suburb Required		Address A
State State Required		Address B
Postcode Postcode Required		City/Suburb
Country Country Required		State
Phone Phone Required		Postcode
Fax		Country
Mobile		Phone
		Fax

Age Group
Gender

Where to Send Mail
Occupation Interest Occupational Interest Required
Name Spouse/Partner
Notes (include here errors/ omissions in fixed data fields)
1 year subscription - $100.00
3 year subscription - $275.00


Note: Club's Privacy Policy: Only Members with a username and password can view your details. Your choice "Where to send mail" will also control the address other members can view.