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Dues Form

Dreux American High School, France
DAHS Alumni Association

 

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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
   ________________ [  ] 20
10
   ________________ [  ] 2
011
$ ________________ 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!!