MembershipForm

To become a member of the Cameron Alumni Association, please complete the application and return the form and Lifetime Membership Dues to

Cameron High Alumni Association, Inc.
P. O. Box 681
Antioch, TN 37011-0681

Installment payments may be made in the following manner:

A. One installment of $100.00, or
B. Two installments of $50.00 within a calendar year.

Membership Fees can be paid by check, money order, or cashiers check, payable to Cameron High Alumni Association Inc. Application forms my be completed online and submitted or both check and application mailed to our P. O. Box. Feel free to make this information available to other alumnus.

After filling out the information below, please click the "Submit" button ONCE. Upon receipt of the form AND check, membership confirmation will be forwarded to you. Please complete each requested box. Thanks again for your support.

*Required Fields

Class Year*

First Name*

Last Name*

Your Maiden Name , if Married

Street Address*

City*

State*

ZIP*

Home Phone*

Area CodePhone Number

Cell Phone

Area CodePhone Number

Work Phone

Area CodePhone Number

E-mail

Confirmation Email

Gender*

MaleFemale

Student, Faculty, Friend*

StudentFacultyFriend of Cameron

Current Membership Status

Non-Lifetime Member

Married

YesNO

Spouse's Name

Spouse's Class Year

If a Cameron High Alumnus

Membership Dues

One Installment $100First Installment of $50Second Installment of $50

Payment Options*

Pay Pal/Bank CardCheck

Payment by Check instructions:

Membership Fees can be paid by check, money order, or cashiers check, payable to Cameron High Alumni Association Inc. Application forms may be completed

online, submitted and payment mailed to
printed and mailed with payment to:

Cameron High Alumni Association, Inc.
P. O. Box 681
Antioch, TN 37011-0681

.

My Products

One installment$100.00

Remember to send check to the above address if you are submitting this form electronically.

CAMERON ALUMNI LIFETIME MEMBERSHIP APPLICATION