Application to Join
PLEASE PRINT THIS APPLICATION AND MAIL WITH YOUR CHECK OR MONEY ORDER.
WILBY HIGH SCHOOL
ALUMNI ASSOCIATION
PLEASE PROVIDE US WITH THE FOLLOWING INFORMATION: PLEASE PRINT
FIRST NAME____________________ LAST NAME _______________________
MAIDEN NAME ______________________ CLASS YEAR ____________
ADDRESS _________________________________________________
CITY ________________________ STATE ____ ZIP _____________
PHONE DAY ___________________ PHONE EVENING ___________________
E-MAIL _______________________________________________________
OCCUPATION __________________________________________________
ONE TIME MEMBERSHIP DUES - $15.00
PLEASE MAKE OUT CHECK OR MONEY ORDER TO :
"WILBY ALUMNI ASSOCIATION" AND MAIL TO -
LINDA JACOVINO - PO BOX 4503, WATERBURY, CT 06704
ALL DUES RECEIVED GO TOWARDS THE MAINTAINANCE OF THE WEBSITE, MAILINGS, AND POSTAGE.
AS A MEMBERS YOU WILL ALSO RECEIVE DISCOUNTS ON TRIPS, AND OTHER FUNCTIONS WE WILL SPONSOR - SO PLEASE JOIN TODAY.
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