Osher Membership

Hello! It looks like you are trying to register for an Osher Membership for an inactive period. If you believe this is in error, please reach out to osher@towson.edu.

Hello! It looks like you already have an active Osher Membership for the current term. If you believe this is in error, please reach out to osher@towson.edu.

Please complete the Osher Membership registration form for the current period of 07/01/2024 through 06/30/2025.

Contact Information

I would like to update my personal information.

Salutation

First Name

Last Name

Preferred Name/Nickname

Gender

Birthdate

Confirm Email

Phone Number

Alternate Phone

Street Address

City

State

State Calc

Zip Code

Hidden Fields

Contact ID

Opportunity ID

Opp Name

Opp Stage

Opp Close Date

Opp Amount

Product ID

Product Code

Price Book ID

Price Book Name

Price Book Entry ID

Price Book Entry Amount

Course Number

Active

Redirect URL

Hidden Street Address

Hidden City

Hidden State

Hidden State Calc

Hidden Zip Code

Emergency Contact Information

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Email

Emergency Contact Phone Number

Relationship to You

Additional Information

Are you a TU Alumni?

YesNo

Are you a first time Osher Member?

YesNo

Are you retired?

YesNo

What is your former or present occupation?

How did you learn about Osher?

Other