Bitburg High Alumni | Contribution Form

Contribution Form

Contributions help pay expenses like:

Reunion Coordination (site selection research, reservations).
The Alumni Association Roster (printing, mailing).
Alumni Locator (software, phone calls).
Website (web hosting, message board fee, maintenance, equipment).

Please print this page, complete the form and mail it to
Gerry LAGISH Hilliard at the address below.

Please make checks payable to Bitburg Alumni Association.

Mail the check and registration form to:

BHS Alumni Association
c/o Gerry LAGISH Hilliard
1391 Tamarack Drive
Lake Havasu City, AZ 86404

Name: _____________________________________________________________________
please include nicknames (in quotes), maiden and married last names

Address: ___________________________________________________________________

___________________________________________________________________________
please include Street, Apt. #, City, State, Zip, APO/FPO, Country, etc.

Phone: _____________________________________________________________________
please list home, work, and toll-free numbers

E-MAIL ADDRESS: ____________________________________________________________
please indicate whether this is a home or work account

Year Graduated __________ Calendar Year(s) Attended BHS: (e.g. 62-65) ______ - ______

Spouse's Name: ______________________________________________________________
please indicate if spouse is an alum and provide above date for him/her as well

*Your voluntary annual contribution of $25.00 enables us pay expenses.

Today's date: ___________________, Enclosed: $________________ is my contribtion for the year 20___

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