Membership Info.

Year of Graduation                                     Occupation

Full Name:

Maiden Name (If Applicable)

Address:

City:                                               State                        Zip Code

Home Telephone Number:   (      ) 

Work / Alt. Telephone Number (       )

E-Mail Address:

MEMBERSHIP DUES:  

$ 15.00 Recent Graduate * (       )  * Recent Graduate, graduated within last 3 years 

$ 25.00  Regular Member (      )  Dues billed annually

$ 50 .00 Sustaining (       ) Sustaining dues are annual dues plus $25.00 extra to defer rising normal operating costs of the association

$ 250.00 Life **  (       ) **  Life Memberships can be paid in-full or by periodic payment plan.  Call us for details.

$ 25.00 Associate Member ~ Individual (        ) $50.00 Business or Affiliate (       ) 

Brighton High School Alumni Association or BHSAA

c/o Brighton High School, PO Box 265, Allston, MA 02134

Attn: Juliette Johnson, Treasurer

(       ) Serving on the Board      (       ) Membership       (       ) Newsletter

(       ) Public Relations              (       ) Fund Raising    (       ) Special Events

(       ) Alumni Database            (       ) Other: ______________________