Membership Form

Your Name

First______________ MI___ Last_______________

         Maiden Name (If applicable)_______________

Membership Status:
 

___New Member - sending in dues

___Renewing member

Dues:

___Yearly ($15.00)

Extra Donation

  and

Foundation
 

I'm sending an extra donation of:$_________
for: (check all that apply)

___Alumni Association        (please indicate)

___Scholarship Fund (Foundation)

___Adamson High School
___Other  

Or Please state your preference__________________

___________________________________________

Class Year:

_______i.e. 1955, 1965, etc.

Comments:

Email_________________ (username@server.com)
 

Phone number________________________

Street___________________________

City____________ State____ Post/Zip__________

Country________ (example US)

Notes To Alumni:
Here's your chance to let everyone know what is going on in your life:

Enter your information HERE!, tell us where you’ve been and what you’ve done.






 

Please print and mail this form to:

Adamson Alumni Association
PO Box 383212
Duncanville,TX 75138-3212

(tip:with most MS-OS you can click “File>Print>or PreView”