Sperry Alumni Association - Printable Membership Application

SHS Alumni Association - Membership Application

Please print out and complete one form per member.
Remit with $10.00 payment to:

Sperry Alumni Association, P.O. Box 417, Sperry, OK 74073


Please sign me up as a member of the Sperry Alumni Association.
Last Name:	______________________________________
Maiden Name:	______________________________________
First Name:	______________________________________
Name of Spouse:	______________________________________
Postal Address:	__________________________________________________
City:	__________________	State: _______	Zip	___________
Telephone:	_______________________________ (Include Area Code)
E-mail Address:	______________________________________
Graduation Year:	_______________ ____ Non-Graduate

Check all of the following that apply:
____	Please include my name, e-mail and/or postal address in the Sperry Alumni Association's Online Directory.
____	Do not include my name, e-mail and/or postal address in the Sperry Alumni Association's Online Directory.
____	If a fellow alum is interested in contacting me, I would like for the Association to notify me.