Queen's University - Alumni Card Application

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Are you a member of this year's graduating class? *

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Student Number

No spaces or hyphens, eg., 1234567
Given Name *
Surname *
Mailing Address Line 1 *
Mailing Address Line 2
City *
Province/State *
Postal / Zip Code *
Country *
Telephone Number *

Canada 613 533 6000 United States of America 613 533 6000 Albania 066 212 3456 Algeria 0551 23 45 67 American Samoa 684 733 1234 Andorra 684 733 1234 Angola 923 123 456 Anguilla 267 235 1234 Antigua and Barbuda 268 464 1234 Argentina 011 15 2345 6789 Aruba 560 1234 Australia 0412 345 678 Austria 0664 123456 Azerbaijan 040 123 45 67 Bahamas 242 359 1234 Bahrain 3600 1234 Bangladesh 01812 345678 Barbados 246 250 1234 Belarus 8 029 491 19 11 Belgium 0470 12 34 56 Belize 622 1234 Benin 90 01 12 34 Bermuda 411 370 1234 Bhutan 17 12 34 56 Bolivia 71234567 Bosnia and Herzegovina 061 123 456 Botswana 71 123 456 Brazil 11 96123 4567 British Indian Ocean Territory 380 1234 Brunei 712 3456 Bulgaria 048 123 456 Burkina Faso 70 12 34 56 Burundi 79 56 12 34 Cambodia 091 234 567 Cameroon 6 71 23 45 67 Cayman Islands 345 323 1234 Central African Republic 70 01 23 45 Chad 63 01 23 45 Chile 09 6123 4567 China 131 2345 6789 Christmas Island 0412 345 678 Cocos (Keeling) Islands 0412 345 678 Colombia 321 1234567 Comoros 321 23 45 Cook Islands 71 234 Costa Rica 8312 3456 Croatia 092 123 4567 Cuba 05 1234567 Curaçao 9 518 1234 Cyprus 96 123456 Czech Republic 601 123 456 Denmark 20 12 34 56 Djibouti 77 83 10 01 Dominica 767 255 1234 Dominican Republic 099 123 4567 Ecuador 099 123 4567 Egypt 0100 123 4567 El Salvador 7012 3456 Equatorial Guinea 07 123 456 Eritrea 07 123 456 Estonia 5123 4567 Ethiopia 091 123 4567 Falkland Islands 51234 Faroe Islands 211234 Fiji 701 2345 Finland 041 2345678 France 06 12 34 56 78 French Guiana 0694 20 12 34 French Polynesia 87 12 34 56 Gabon 06 03 12 34 Gambia 301 2345 Georgia 555 12 34 56 Germany 01512 3456789 Ghana 023 123 4567 Gibraltar 57123456 Greece 691 234 5678 Greenland 22 12 34 Grenada 473 403 1234 Guadeloupe 0690 00 1234 Guam 671 300 1234 Guatemala 5123 4567 Guernsey 07781 123456 Guinea 601 12 34 56 Guinea-Bissau 955 012 345 Guyana 609 1234 Haiti 34 10 1234 Honduras 9123 4567 Hong Kong 5123 4567 Hungary 20 123 4567 Iceland 611 2134 India 081234 56789 Indonesia 0812 345 678 Iran 0912 345 6789 Iraq 0791 234 5678 Ireland 085 012 3456 Isle of Man 07924 123456 Israel 0501234567 Italy 312 345 6789 Jamaica 876 210 1234 Japan 090 1234 5678 Jersey 07797 712345 Jordan 07 9012 3456 Kazakhstan 711 000 9998 Kenya 0712 123456 Kiribati 72001234 Kuwait 500 12345 Kyrgyzstan 0700 123 456 Laos 020 23 123 456 Latvia 21 234 567 Lebanon 71 123 456 Lesotho 5012 3456 Liberia 077 012 3456 Libya 091 2345678 Liechtenstein 660 234 567 Lithuania 8 612 34567 Luxembourg 628 123 456 Macau 6612 3456 Madagascar 032 12 345 67 Malawi 0991 23 45 67 Malaysia 012 345 6789 Maldives 771 2345 Mali 65 01 23 45 Malta 9696 1234 Marshall Islands 235 1234 Martinique 0696 20 12 34 Mauritania 22 12 34 56 Mauritius 5251 2345 Mayotte 0639 01 23 45 Mexico 044 222 123 4567 Moldova 0621 12 345 Monaco 06 12 34 56 78 Mongolia 8812 3456 Montenegro 067 622 901 Montserrat 664 492 3456 Morocco 0650 123456 Mozambique 82 123 4567 Myanmar 09 212 3456 Namibia 081 123 4567 Nauru 555 1234 Nepal 984 1234567 Netherlands 06 12345678 New Caledonia 75 12 34 New Zealand 021 123 4567 Nicaragua 8123 4567 Niger 93 12 34 56 Nigeria 0802 123 4567 Niue 1234 Norfolk Island 3 81234 North Korea 0192 123 4567 Northern Mariana Islands 670 234 5678 Norway 406 12 345 Oman 9212 3456 Pakistan 0301 2345678 Palau 620 1234 Panama 6123 4567 Papua New Guinea 7012 3456 Paraguay 0961 456789 Peru 912 345 678 Philippines 0905 123 4567 Poland 512 345 678 Portugal 912 345 678 Puerto Rico 3312 3456 Qatar 3312 3456 Romania 0712 345 678 Russia 8 912 345 67 89 Rwanda 072 123 456 Saint Barthélemy 0690 00 1234 Saint Helena 51234 Saint Kitts and Nevis 869 765 2917 Saint Lucia 758 284 5678 Saint Martin 0690 00 1234 Saint Pierre and Miquelon 055 12 34 Saint Vincent and the Grenadines 784 430 1234 Samoa 601234 San Marino 66 66 12 12 Sao Tome and Principe 981 2345 Saudi Arabia 051 234 5678 Senegal 70 123 45 67 Serbia 060 1234567 Seychelles 2 512 123 Sierra Leone 025 123456 Singapore 8123 4567 Sint Maarten 712 520 5678 Slovakia 0912 123 456 Slovenia 031 234 567 Solomon Islands 74 21234 Somalia 7 1123456 South Africa 071 123 4567 South Korea 010 0000 0000 South Sudan 0977 123 456 Spain 612 34 56 78 Sri Lanka 071 234 5678 Sudan 091 123 1234 Suriname 741 2345 Svalbard and Jan Mayen 412 34 567 Swaziland 7612 3456 Sweden 070 123 45 67 Switzerland 078 123 45 67 Syrian Arab Republic 0944 567 890 Taiwan 0912 345 678 Tajikistan 917 12 3456 Tanzania 0621 234 567 Thailand 081 234 5678 Timor-Leste 7721 2345 Togo 90 11 23 45 Tokelau 7290 Tonga 771 5123 Trinidad and Tobago 866 291 1234 Tunisia 20 123 456 Turkey 0501 234 56 78 Turkmenistan 8 66 123465 Turks and Caicos Islands 649 231 1234 Tuvalu 901234 U.S. Virgin Islands 340 642 1234 Uganda 0712 345678 Ukraine 039 123 4567 United Arab Emirates 050 123 4567 United Kingdom 07400 123456 Uruguay 094 231 234 Uzbekistan 8 91 234 56 78 Vanuatu 591 2345 Venezuela 0412 1234567 Vietnam 091 234 56 78 Wallis and Futuna 50 12 34 Western Sahara 0650 123456 Yemen 0712 345 678 Zambia 095 5123456 Zimbabwe 071 234 5678

Example:
Email Address *
Email Address (confirmation) *
Card Name *

0/21

Please enter your name as you would like it to appear on your card, up to a maximum of 21 characters including spaces.
QUAA member since *

Enter your degree YEAR. If you have more than one degree from Queen's, please enter your first degree year.
Delivery / Pickup Method

Please mail my Alumni Card at the address indicated above
Further Contact

Please note that from time to time, we may solicit your feedback for the sole purpose of enhancing the services/benefits provided to you as a Queen’s Alumni Card holder. Identifying information about you will be removed from survey results so that your privacy and confidentiality are protected.

Personal information is collected under the authority of the Queen’s University Royal Charter of 1841, as amended, and in accordance with Ontario’s Freedom of Information and Protection of Privacy Act and other applicable legislation, including the European Union’s General Data Protection Regulation (GDPR) and is used for the purpose of alumni relations, fundraising and advancement activities. If you have questions about the information collected or how it will be used, please contact the Office of Advancement, Queen’s University Kingston, ON K7L 3N6, or by telephone at 613.533.2060, or 1.800.267.7837. More information on our privacy policy can be viewed here (https://www.queensu.ca/alumni/privacy).

Queen's University is situated on traditional Anishinaabe and Haudenosaunee Territory.

Office of Advancement

Queen's University
Kingston, Ontario K7L 3N6

Phone: 613-533-2060
Toll free: 1-800-267-7837
Email: alumni@queensu.ca

Donate to Queen's University

Queen's University Alumni Card Application

Further Contact