Name(s)_______________________________________________________________________________________________________

Maiden name (if applicable) _______________________________________________________________________________________

Graduate ( ) I’d like to help on a committee. ( )

Parent ( ) I’d like to be on the Board. ( )

Friend ( ) Add me to the e-mail meetings and “help” list. ( )

Year(s) you or your child(ren) graduated (or will graduate)_____________________________________________________________

Address________________________________________City__________________________State_____________Zip_________ __

Phone #( )__________________E-mail

MEMBERSHIP T-SHIRT(S)

_____$25 Basic ___S ___M ___L ___XL ___ Use my membership $ for scholarships only.

_____$26-99 Pirate Club $13 per shirt = $________ ___ Use my membership for the Alma Pinnix Bank.

_____$100-499 Anchor ___ Use my membership $ for the Auditorium.

_____$500-999 Buccaneer ___XXL ___XXXL ___ Use my membership $ where you need it.

_____$1,000-2,499 Pirate Treasure $16 per shirt = $________ ___ Please remove me from the distribution list.

_____$2,500-4,999 Swashbuckler

_____$5,000+ Captain’s Table Membership donation $________

Total $________

_____ My donation is in (honor/memory of – circle one) _____________________________________________________________

All members’ names will be listed in the newsletter. Below, please write any updates, comments, or alumni information you’d like included in our

next newsletter.

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

Mail to: