DREUX
AMERICAN
HIGH SCHOOL
ALUMNI ASSOCIATION
DUES FORM
Full
Name: ________________________________________________
First
Middle
Last
Maiden
Name: _____________________________________________
Address:
_____________________________________________
_____________________________________________
_____________________________________________
((Include Street/Route, Apt. #, PO Box, City, State/Province, Country, Zip)
Telephone:
Home
______________________
Work ______________________
Cell
______________________
(Area Code + Number)
Email
Address:
_________________________________________
Alternate
Email Address: ____________________________________
(work, spouse)
Alumni/Faculty/Staff:
Class Year: ____________
If you didn’t graduate from Dreux, Years Attended: _____ to_____
ie. 62-65
Faculty: Years at Dreux ________ to _______
Staff: Years
at Dreux ________ to _______
Spouse’s Name: ____________________________________________
Dues
are $40.00 per year.
(You
can also pay for multiple years, i.e. $80 for 2 yrs, $160 for 4yrs).
$
________________ [ ] 2008
________________
[ ] 2009
________________ [
] 2010
________________ [
] 2011
$ ________________ Total Dues
$ ________________ Additional Donation/Contribution to support the
Alumni Association activities, i.e. locating
alumni, website, postage,
etc.
$
________________ TOTAL
Make Check payable to: Dreux AHS Alumni Association
Mail this completed form and Dues payment to:
Marilyn
Hutto Turner
'62
9831
Marine View Drive
Mukilteo, WA
98275
Thanks for your
Support!!