Please  print  this  page,  fill  in  the  form  and  mail  with  your  check

 

 

 

 

ALUMNI MEMBERSHIP APPLICATION FORM

 

      Name: ___________________________________________CHS Class: ______Date:_________

      Address: _________________________________________ Phone: (      ) __________________

      City____________________________________State_____ZipCode_______________________

      E-mail: __________________________________________________________

 

      Occupation: _____________________________________________________________________

      Tell us about yourself:_____________________________________________________________

      _______________________________________________________________________________

      Have you served in the Armed Forces? If yes, when and where: ____________________________

 

      ___Life membership  $25.        ___ Century Upgrade $75.       ___Century membership $100.

 

 

      Make check payable to: Cheltenham High School Alumni Association

 

     Mail to:

 

     Cheltenham Alumni Association

     School District of Cheltenham Township

     Elkins Park, PA 19027-1100