|
Single annual membership, $35 |
Renewal Membership? |
| Single 5-year membership, $150 |
New membership? |
| Joint annual membership, $50 | Additional donation to ETHS Alumni Assn. |
| Joint 5-year membership, $200 | |
| Recent grad annual membership, $10 (up to 5 years after graduation) | |
| Full Name: |
(Maiden Name): |
Class Year: |
| Street Address *Is this a new address? Yes No |
City, State, ZIP +4 |
| Home Phone: |
Work Phone: |
Email-address (please print carefully): |
| Business Street Address |
City, State, ZIP +4 |
| Spouse's Name: |
(Maiden Name): |
Class Year: |
|
| Business Street Address: |
City: State: ZIP +4: |
| Work Phone: | Email-address (please print carefully: |
| Check enclosed (Made payable to ETHS Aumni Association) | |