Norristown Area High School
Alumni Association
 Membership Application

Please print the page, complete the form below and mail it, with your check,
 to the address listed at the bottom of the form.

First Name:   Middle Initial:  
Maiden Name:   Last Name:  
Class of                                   (write the full year, i.e. 1999)

Home Information

Street Address:  
City:   State:  
Zipcode:   Country:  
Telephone Number:                        -                             -
e-mail address:  

College/Work Information

College or Company:  
Street Address:  
City:   State:  
Zipcode:   Country:  
Telephone Number:                        -                             -
e-mail address:  
Job title:
(optional)		  

Become Involved!   Check all areas in which you would like to help your alumni association.

q Membership q Finance q Publicity q Reunions q Hall of Champions
q Social Activities  q Newsletter  q Web Page q Other (Please specify) _________________________
Check one:

q  new member

q  renewal

 Check one: q annual membership:  check one option below.
       q   $10 (receive e-newsletter as PDF file)
       q   $15 (receive newsletter by U.S. mail)
q life membership:  $50

Send your completed membership form and your check to:

NAHS Alumni Association
1900 Eagle Drive
Norristown, PA 19403

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