Membership and Dues

LAFAYETTE ALUMNI ASSOCIATION, INC.
PO BOX 21753
LEXINGTON, KY 40522-1753
 
MEMBERSHIP AND DUES FORM
 
$20.00 YEARLY DUES
Circle payment of years:  2024-25; 2025-26; 2026-27; 2027-28; 2028-29; 2029-30
 
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:______________________
 
 
Email address:_______________________________________________
 
 

MAIL CHECKS TO THE ABOVE ADDRESS.

 
ALL DUES AND CONTRIBUTIONS ARE TAX DEDUCTIBLE.
IF YOU WOULD LIKE TO MAKE A DONATION TO THE SCHOLARSHIP FUNDS YOU CAN SEND A CHECK TO THE ADDRESS AT THE TOP OF THIS PAGE.
A FEDERALLY TAX-EXEMPT ORGANIZATION.
 
*****BE SURE TO INCLUDE YOUR GRADUATION/CLASS YEAR ON YOUR CHECK******