Memorial Scholorship
Plainedge Alumni Association Memorial Scholarship
Please cut and paste the form into your editor and return the form with your check made payable to:
Plainedge Alumni Association
Mail to:
Plainedge Alumni Association, PO Box 1322, N. Massapequa, NY 11758
We thank you, in advance and with heartfelt gratitude, for your support in helping a PHS graduate achieve the goal of higher education.
Plainedge Alumni Association Memorial Scholarship
Your Name: ________________________________
Your Email Address: _________________________
Your year of graduation if Applicable ________
Amount of Donation: $____________
If donating in memory of any alumni that have passed away, please fill in information below.
If more than one commemoration, please supply information for each alumni.
Name of Deceased Alumni: _____________________________
Class of (if known): ___________________
Date of Death (if known): ________________________
For further information please contact:
Tony Sasso, President, Plainedge Alumni Association at TSasso@aol.com