Membership Application

Highland Park High School

Alumni Membership Application

 

Annual dues: $8.00 Annual memberships are effective July 1 through June 30.

Lifetime membership (one-time fee):    

Age 18-40   $ 65.00              Age 61-70   $ 40.00

Age 41-60   $ 50.00              Age 71 +    $ 25.00

Name_______________________________________________________________

Maiden Name______________________________________

Street Address_____________________________________________________________

City, State, Zip________________________________________________________

New _________ Renewal _________ Year Graduated ____________

Age of Alumni Member __________

 

Amount submitted for membership               $____________

Amount submitted for scholarship                $____________

Amount submitted for "special requests"       $____________

                                                     TOTAL        $_____________

 

Make Checks payable to:  Highland Park Alumni Association

Return to:

HPHS Alumni Association, 2424 SE California, Topeka KS 66605-1760