MART EX-STUDENTS’ ASSOCIATION

MEMBERSHIP APPLICATION/RENEWAL FORM

HOMECOMING ----20________.

 

Your Name/s: ______________________________________________

 

Mart Graduation Year/s: ________________

 

(Please give the following information if CHANGED)

 

Mailing Address: ___________________________________________

 

City: ________________________ State: _____ __ Zip: __________

 

**E-mail Address: ____________________________________________

 

Telephone Number: _________________________________________

 

 

 

1. ______________Membership Dues $ _________________

* 1 year @ $10.00

* Lifetime membership for $200.00

 

 

 

2. ______________Additional Donations $ _________________

 

 

TOTAL ENCLOSED $ _________________

 

 

Information can be:

e-mailed to: karanrene12@gmail.com

mailed to: 218 N Emerson St.

Mart, Texas 76664

 

 

****If you have paid for a lifetime membership or several years disregard this form unless you have new information we need to update. We especially need a current email address.**********************************************************