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Membership
Application
BHS Ex-Students Association
Print and mail to:
BHS Ex-Students Association, PO Box 1668, Brownwood, TX 76804
Name ____________________________________________ (Maiden) _________________________
Address _____________________________________________________________________________
City ______________________________________ State _______________________ Zip _________
Email Address _______________________________________________________________________
Telephone Number (_____) ____________________________ Class Year __________________
Is this information new or represent a change? (Circle) YES NO
Payment of Dues (Circle One) $10 Single or $15 Couple
Donation to Slim Warren Scholarship $_________________________
Donation to Gordon Wood Scholarship $ _________________________
Class Printout Year(s) __________________ $ 5.00 each year ordered
(Please be aware that we are changing software and updating all classes databases. There may be a delay in receiving your class printout)
My Total Payment
(Check, money order, cashiers check) $ ================Mail payments and information to
BHS Ex-Students Association
PO Box 1668
Brownwood, TX 76804