South High Alumni & Friends, INC. Gift Membership To print please set your printer to "portrait" orientation. This form MUST be sent with the Membership Application This is page of of the gift memberships I am giving today. $10.00 each gift membership Name LAST FIRST INITIAL MAIDEN NAME Street Address City/Town State Zip Phone Number Email Class of Past and/or present occupation Spouse LAST FIRST South High Alumn? yes no. . INITIAL MAIDEN NAME . Year Gift Given By LAST FIRST South High Alumn? yes no. . INITIAL MAIDEN NAME . Year Addresses outside of USA please indicate and write in on the back of form. US$ only. This form cannot be submitted over the web. You may enter your information and print it. Then send completed form with check or money order to address above. Thank you.

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