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NHS Alumni Association Membership Form |
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| Please print and fill out the form
below. Mail with payment to:
NHS Alumni Association PO Box 125 Napoleon, Ohio 43545 |
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| Name: ________________________ Maiden Name: ______________ | ||
| Address: _______________________________________________ | ||
| City: __________________________________________________ | ||
| State: ____________________ Zip: _______________________ | ||
| Home Phone: ________________ Email: __________________ | ||
| Other Phone: ________________ | ||
| Year Graduated: ___________ | ||
| Membership Type: Individual ($25)______ Family ($35)______ Lifetime ($300)______ | ||
| Remember, membership in the NHS Alumni Association is tax deductible!! |