Please circle membership dues enclosed: 1 year - $6.00 2 years - $11.00 3 years - $15.00
Foreign Country: 1 year - $12.00 2 years - $22.00 3 years - $30.00
Additional Donation enclosed: $ ___________ Memorial enclosed: $ ________________
In memory of: _____________________________________________________________Name: ______________________________________________ Graduation Year: _______
Address: _________________________________________________________________
Graduation Number: _____________ (first # on newsletter label if available)City: ______________________________________ State: ___________ Zip: ___________
e-mail: ___________________________ alternate e-mail: ________________________________
Birth Date: ___________ If married, is your spouse an AHS grad? ____ If so, what year? ______
First and last name of spouse (maiden name of wife): _________________________________
Your father's first and last name: _________________________________________________
Your mother's first and maiden name: _____________________________________________
Names and addresses of brothers and sisters who graduated from AHS: __________________
__________________________________________________________________________
Names of other relatives who graduated from AHS: __________________________________
__________________________________________________________________________
Name and address of someone who will always know your address: ______________________
___________________________________________________________________________
Suggestions / comments for the AHAA (special events, newsletter ideas, anything): ______________________________________________________________________________________