SOUTH HIGH ALUMNI & FRIENDS, INC.
Membership Application
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Name

LAST
FIRST

INITIAL
MAIDEN NAME
Street Address
City/Town

State

Zip

Phone Number

Email

Past and/or present occupation

I graduated with the class of I attended South High with the class of
(Friends of the class of 1981 use this space)

Spouse

LAST
FIRST		 South High Alumn?
yes no. .

INITIAL
MAIDEN NAME		 . Year
 
Donor

LAST
FIRST		 South High Alumn?
yes no. .

INITIAL
MAIDEN NAME		 . Year

I have enclosed annual membership dues of $10.00 for alumnus/friend
(which includes all issues of the Alumni Confederate)

$

I would also like to make a tax deductible contribution
of $ to be earmarked for: completion of Historical Room
General Activites of the Association...
Other (specify)

In the name of

LAST
FIRST		 South High Alumn?
yes no. .

INITIAL
MAIDEN NAME		 . Year

$

I am interested in helping on a committee: Membership.. Communications.. Social
Historical.. Business ..Sports
..I would like to give gift memberships @ $10.00 each to the name(s) and addressess on a separate piece of paper

$

Check # Date ..(mm/dd/yy)

TOTAL DUE

$

Addresses outside of USA please indicate and write in on the back of form. US$ only.

MAKE CHECKS PAYABLE AND RETURN APPLICATION AND GIFT MEMBERSHIP FORM TO:
South High Alumni and Friends, Inc.
1700 East Louisianna Ave.
Denver, CO 80210-1810

Please direct questions to: (303) 698-6067 or Fax (303) 698-6057
email: [email protected]

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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