Registration Form
To make a copy of this form you can select print on your computer or copy the information below and paste it to a document you use. Print it, fill it out and mail it to Jim.
610 MASS ALUMNI MEMBERSHIP FORM
RETURN TO
JIM WOLTERS
115 ALLEN AVENUe
WINTER HAVEN, FL 33880
jim.wolters@gmail.com
_______ YES, I want to be a registered member of the 610 MASS Alumni and receive newsletters, updates and reunion info. Registered members also receive a copy of our Roster.
PLEASE MAKE PAYABLE TO 610 MASS ALUMNI ASSOCIATION
Here is my annual registration of $15.00_______ OTHER _______
NAME____________________________________________________
MAILING ADDRESS______________________________________________________________
E-MAIL ADDRESS _______________________________________
_____ NO, please remove me from your mailing list.
COMMENTS______________________________________________________________________
__________________________________________________________________________________
___________________________________________________________________________________
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REGISTERING AS AN ALUMNI MEMBER DOES NOT OBLIGATE YOU TO ATTEND A REUNION. LIKEWISE YOU DO NOT NEED TO BE AN ALUMNI MEMBER TO ATTEND A REUNION.
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