Membership Dues are due  . . . . October 1st.

MEMBERSHIP DUES:

Above your address label on the newsletter, the numbers indicate one of the following:
             “Dues due date" or "LT" for lifetime membership  or "000000" for "Not Yet Paid dues".

Include this form with your payment.  Be sure to check one of the boxes below:           

    ______ My dues are enclosed.

    ______I am on a fixed income but would still like to received the newsletter.

Mr./Mrs./Ms. ____________________________________________________________________

Maiden Name :: ___________________________________________Class _________________

Phone Number :: ___________-_____________-______________________

Email Address :: _________________________________________________________________

Street Address :: _________________________________________________________________

City :: ____________________________________ State :: ___________ Zip :: _______________

(check appropriate box)

  _____ $10 Yearly Membership                                         

 _____ $100 Lifetime Membership                                         Amount Enclosed $_________

Mail To:

Holmes High School Alumni Association
c/o Connie Kiskaden, Treasurer
1841 Stahl Road
Hebron, KY  41048