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 ( )
(Note) Donations are fully deductible for tax purposes.
Make Checks Payable:
Brighton High School Alumni Association or BHSAA
c/o Brighton High School, PO Box 265, Allston, MA 02134
Attn: Juliette Johnson, Treasurer
I am interested in helping with:
( ) Serving on the Board ( ) Membership ( ) Newsletter ( ) Website
( ) Public Relations ( ) Fund Raising ( ) Special Events ( ) School Volunteer
( ) Alumni Database ( ) Other: ______________________
