Membership mail-in form

Loara Saxons Alumni Association, Inc.
PO Box 9397

Anaheim, CA 92812

email: Lsaapresident65@gmail.com
Membership Status *

New Membership/Donation Renewing Membership/Donation Friend or Faculty Membership/Donation Donation Only
Name *

First Name Middle Name Last Name
Maiden Name If Applicable
Graduating Class Year *
Spouse's Name If Applicable

First Name Last Name
Is spouse a Loara grad...

Yes No
Spouse's Graduating Class Year if Applicable

Address *

E-mail *
Phone Number *

Area Code Phone Number
Memberships and Donations

Basic Membership Active Military $5.00 Basic Membership $20.00 Basic Membership with Spouse $30.00 Membership with Spouse and a Locker Plaque $100.00 Legacy Membership with Spouse and a Locker Plaque $250.00 LEGACY LIFETIME MEMBERSHIP WITH SPOUSE AND A LOCKER PLAQUE $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 $250.00 Tommy 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.