Membership mail-in form

Loara Saxons Alumni Association, Inc.
PO Box 9397

Anaheim, CA 92812

email: Lsaapresident65@gmail.com
Membership Status*

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

First NameMiddle NameLast Name
Maiden Name If Applicable
Graduating Class Year*
Spouse's Name If Applicable

First NameLast Name
Is spouse a Loara grad...

YesNo
Spouse's Graduating Class Year if Applicable
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Memberships and Donations

Basic Membership Active Military $5.00Basic Membership $20.00Basic Membership with Spouse $30.00Membership with Spouse and a Locker Plaque $100.00Legacy Membership with Spouse and a Locker Plaque $250.00LEGACY LIFETIME MEMBERSHIP WITH SPOUSE AND A LOCKER PLAQUE $500.00Saxon Fund Donation $5.00Saxon Fund Donation $10.00Saxon Fund Donation $25.00Saxon Fund Donation $50.00Saxon Fund Donation $100.00Saxon Fund Donation $250.00Saxon Fund Donation $500.00Tommy Thomason Scholarship Fund $5.00Tommy Thomason Scholarship Fund $10.00Tommy Thomason Scholarship Fund $25.00Tommy Thomason Scholarship Fund $50.00Tommy Thomason Scholarship Fund $100.00Tommy Thomason Scholarship Fund $250.00Tommy Thomason Scholarship Fund $500.00
Saxon Fund Donation.... Surprise US!!!!!!!
Tommy Thomason Scholarship Fund Donation.... Surprise US!!
Please make all checks out to: Loara Saxons Alumni Association

Please mail your completed form and payment to:

Loara Saxons Alumni Association, Inc

PO Box 9397

Anaheim, CA 92812

A 501 (c) (3) charity. Tax ID #45-5233255
Should be Empty:

Loara Saxons Alumni Association, Inc.