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MEMBERSHIP DUES:

 

 

 

Include this form with your payment.

Be sure to check one of the boxes below:

______ My dues are enclosed.

______I am on a fixed income but would still like to received the newsletter.

Mr./Mrs./Ms. _____________________________________________

Maiden Name : ___________________________________________

Class: _________________

Phone Number: ___________-_____________-__________________

Email Address: _________________________________________________________________

Street Address: _________________________________________________________________

City: ____________________________________

State: ___________ Zip : _______________

(check appropriate box) ______ $10 Yearly Membership

______ Amount Enclosed

Mail To:

Holmes High School Alumni Association

c/o Holmes High School

25th and Madison Avenue

Covington KY 41014

email: deborah.winkler@covington.kyschools.us


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