Loara Alumni Membership Application

Loara Alumni Membership Application
LOARA SAXONS ALUMNI ASSOCIATION, INC.
PO Box 9397

Anaheim, CA 92812

email: lsaatreasurer65@gmail.com
Membership status*

New Membership/DonationRenewing Membership/DonationFriend or Faculty Membership/DonationDonation Only
Name*

First NameMiddle NameLast NameSuffix
Maiden Name if applicable
Your Class Year*
Spouse's Name if applicable.
Is spouse a Loara grad?

YesNo
Spouse's graduation year if applicable.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Memberships and Donations. Note: you may choose a membership level or to make a donation OR BOTH!! Your TOTAL will be at the bottom.*
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Basic Membership Active Military$5.00

Basic Membership$20.00

Basic Membership with Spouse$30.00

Membership with Spouse and donation$100.00

Legacy Membership with spouse and donation$250.00

LIFETIME MEMBERSHIP WITH SPOUSE $500.00

Saxon Fund Donation$5.00

Saxon Fund Donation$10.00

Saxon Fund Donation$25.00

Saxon Fund Donation$50.00

Saxon Fund Donation$100.00

Saxon Fund Donation$250.00

Saxon Fund Donation$500.00

Tommy Thomason Scholarship Fund$5.00

Tommy Thomason Scholarship Fund$10.00

Tommy Thomason Scholarship Fund$25.00

Tommy Thomason Scholarship Fund$50.00

Tommy Thomason Scholarship Fund$100.00

Tommy Thomason Scholarship Fund$500.00

Total $0.00
Should be Empty:

LOARA SAXONS ALUMNI ASSOCIATION, INC.