CORDOVA HIGH SCHOOL
ALUMNI ASSOCIATION
MEMBERSHIP APPLICATION

$10.00 YEARLY MEMBERSHIP DONATION
Calling all loyal LANCERS! The CHSAA believes that there is pride in being a Lancer. Our goal is to put together an Association of CORDOVA HIGH SCHOOL ALUMNI -- CHSAA.

Those eligible are alums, parents of alums, or those who have children currently attending CHS, community residents, members of the various BOOSTER organizations and clubs, school-partners in the academics, and the staff/faculty of CHS -- past and present.

PLEASE FILL OUT THIS FORM * PAYMENT VIA PAYPAL
or
PRINT THIS FORM, FILL IT OUT, INCLUDE PAYMENT AND MAIL TO

CHSAA
PO BOX 2148
RANCHO CORDOVA, CA 95741-2148

CORDOVA HIGH SCHOOL ALUMNI ASSOCIATION
CONTACT INFORMATION

FULL NAME :
MAIDEN NAME :
GRADUATION YEAR :
STREET ADDRESS:
MAILING ADDRESS: (If different from street address)
CITY:
STATE:
ZIP CODE:
HOME PHONE:
CELL PHONE:
PRIMARY EMAIL:
SECONDARY EMAIL:
ARE YOU ON FACEBOOK? Yes No
FACEBOOK PROFILE NAME :
FACEBOOK EMAIL ADDRESS:
WOULD YOU BE INTERESTED IN HELPING ON OUR CHSAA COMMITTEE? (Wendy Reed, CEO, will contact you to see what you'd like to help with) Yes No OK TO RELEASE CONTACT INFORMATION TO CLASSMATES? Yes No

COMMENTS

*** IMPORTANT ***
If you Do Not Have a PayPal Account PRINT OUT this "completed" Membership Application Form& mail with your $10 Membership Donation (see Instructions above) BEFORE CLICKING THE "SEND & PAY" BUTTON! All Membership Applications require a $10 Membership Donation to complete the Registration process!