Membership Form

 

MHS  ALUMNI  ASSOCIATION  MEMBERSHIP  APPLICATION
 
 
 
 
Name    __________________________________________________________________
               First                           middle                          last                    (maiden, if applicable)
Class Year            __________________________________________________________
Mailing Address    __________________________________________________________
City, State, Zip      __________________________________________________________
Spouse’s Name    ___________________    Class year (if MHS graduate) _____________
E-mail address      _________________________________________________________
Phone numbers    _________________________________________________________
                                    Home                              Cell                                    Work
Enclosed:        $20 for Annual Membership               ___________
                        $150 for Lifetime Membership           ___________
                        Scholarship Donation                        ___________
                        Other Donation                                  ___________
                        Total                                                     __________
Mail to:
Moore High School Alumni Association
P.O. Box 7916
Moore, OK 73153