![]() 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 |
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