NHS Alumni Association

Membership Form

 
 
Please print and fill out the form below.  Mail with payment to:

 

NHS Alumni Association

PO Box 125

Napoleon, Ohio  43545

 
 
 
First Name:  ________________________     Last Name:  __________________________
Year Graduated:  _________     Maiden Name:  ________________________
Phone:  _____________________________
Email:  _______________________________________
 
If a Married Membership, please complete this section for 2nd Graduate.
    First Name:  ________________________     Last Name:  __________________________
    Year Graduated:  _________     Maiden Name:  ________________________
    Phone:  _____________________________
    Email:  _______________________________________
 
Address:  _______________________________________________
City:  __________________________________________________      
State:  ____________________     Zip:  _______________________
 
Membership Type:  Annual - Individual ($25) ______   Annual - Married ($35) ______
                          Lifetime - Individual ($300) ______   Lifetime - Married ($450) ______
 
 
Remember, membership in the NHS Alumni Association is tax deductible!!