ALUMNI DUES PAYPAL FORM – 2017

Dues Payment
Annual Dues @ $10/person
Cover Charge $5/person

1) Dues for (name): & year

  Dues Only ($10)    Dues & Cover ($15)
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2) Dues for (name): & year

  Dues Only ($10)    Dues & Cover ($15)  
3) Dues for (name): & year

  Dues Only ($10)    Dues & Cover ($15)  
4) Dues for (name): & year

  Dues Only ($10)    Dues & Cover ($15)  
Guest Fees @ $10 per Guest,
Cover Charge $5/person
   (Each Alumnus may bring
ONE paid guest)
Guest Fees

Funds
Scholarship Fund
Amount: Other  $
$5   $10   $15   $25   $50  
General Fund
Amount: Other  $
$5   $10   $15   $25   $50  
ABC Fund
Amount: Other  $
$5   $10   $15   $25   $50  
Memorial Fund
   In Memory of:

Amount: Other  $
$5   $10   $15   $25   $50