A premier university in a vibrant community

Membership Information Form

Membership Includes

  • a minimum of four Distinguished Speaker Series events
  • invitations to critical issues forums and panel discussions, including a faculty spotlight event
  • two tickets to a social event held in conjunction with performances and productions with the University Theater or Music Department, or the Anderson Center
  • two tickets to our annual black tie gala with a prominent keynote speaker or entertainment
* Primary Member Name Date of Birth
* Company Name
* Title/Occupation
* E-Mail Address
* Preferred Telephone Number
Home Mailing Address
Please send mail to Home 		Address 1  
Address 2  
City State, Zip   ,
Business Mailing Address
Please send mail to Business 		Address 1  
Address 2  
City State, Zip   ,
Check this box to opt-out of the on-line membership listing of Name and Business Name only
Spouse/Significant Other (if applicable) Date of Birth
Spouse Company Name
Spouse Title/Occupation
Spouse E-Mail Address
Business Mailing Address
 Address 1  
Address 2  
City State, Zip   ,

Annual Dues January - December 2024 Options
$625 Single Membership     $700 Couple's Membership
$500 Single Membership, under 40 $575 Couple's Membership, under 40

Dues pro-rated for partial year
$500 Single Membership     $575 Couple's Membership
$375 Single Membership, under 40 $450 Couple's Membership, under 40


Binghamton University Forum
PO Box 6005
Binghamton, NY 13902-6005 		        Phone: (607) 777-5801
Fax: (607) 777-2945
E-mail: buforum@binghamton.edu


Unless you have elected otherwise, the above information is strictly confidential and for official business purposes only on behalf of the Binghamton University Foundation and the Binghamton University Forum.