Membership and Dues

LAFAYETTE ALUMNI ASSOCIATION, INC.
PO BOX 21753
LEXINGTON, KY 40522-1753
 
MEMBERSHIP AND DUES FORM
 
$15.00 YEARLY DUES
Circle payment of years: 2017-18; 2018-19; 2019-20; 2020-21; 2021-22; 2022-23; 2023-24;2024-25 
 
GRADUATION YEAR_________    
 
 ****BE SURE TO INCLUDE YOUR GRADUATION/CLASS YEAR
ON YOUR CHECK****
 
 
 
 
Name (Including maiden name):_________________________
 
 
Address:____________________________________________
 
 
 
City, State, Zip:_______________________________________
 
 
Spouse Name:_______________________________________
 
 
Home:____________ Cell:____________Work:____________
 
 
Email address:______________________________________
 
 
OCCUPATION/HOBBIES:_______________________________________________
 
 
________________________________________________________________________________
 
 
________________________________________________________________________________
 
 
MAIL CHECKS TO THE ABOVE ADDRESS.
 
ALL DUES AND CONTRIBUTIONS ARE TAX DEDUCTIBLE.
 
A FEDERALLY TAX-EXEMPT ORGANIZATION.
 
*****BE SURE TO INCLUDE YOUR GRADUATION/CLASS YEAR ON YOUR CHECK******
 
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