Alumni Dues & Incentives Awards Donations

Name:_____________________________________________

Class:__________

Address:__________________________________

                ___________________________________

               ___________________________________

Email Address:__________________________________

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___________________________________________________________________________________

Alumni Dues @ $3.00 per year:________

If paying dues for more than one year, please specify the years the payment will cover:_______

         Donation for the incentive awards:________              Miscellaneous Expenses donation:________
                                                         Total amount enclosed:_________

Make all checks payable to Bainbridge-Guilford Alumni Association and send to:

_____________________________________________________________________________________________
A number of Echos have been donated for use by alumni members who have lost theirs or who want additional copies. There is no charge for these well-loved and sometimes worn copies. If you live in this area and would like one, contact Elaine Bradish at (607) 265-3212 or write her at the above Alumni Association address.

Please print this page, fill it out and mail to above address.