EAST
ROCKAWAY HS ALUMNI ASSOCIATION
MEMBERSHIP
APPLICATION
Website: WWW.ERHSALUMNI.COM
PLEASE
SEND THE INFORMATION BELOW WITH YOUR TAX DEDUCTIBLE CHECK (DUES $8 ANNUALLY)
TO:
ERHS
ALUMNI ASSOCIATION
P.O.
EAST
Please list
your name, your yearbook name and, your present name(mailing name.)
Only list
your address if it has changed.
We also
encourage your ideas, input and services.
Thank you!
Yearbook LastName___________________________________________________
Yearbook First Name___________________________________________________
Mailing Name_______________________________________ __________
Address___________________________________________________
Town
_________________________ State ___________ Zip ________
Telephone Number ______________________________
E-Mail Address _________________________________
Graduation Year ________________
Current Dues ($8.00) ____________
Donation to Scholarship Fund ____________
Total Enclosed ____________