GUHSAA Membership Application
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indicates a required field
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Name:
*
First :
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Last :
Maiden :
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Address:
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City:
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State:
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Zip5+4:
Phone:
Area code:
Number:
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E-mail Address:
*
I am a:
Grant High graduate, year of:
Norte Del Rio graduate, year of:
past or current faculty, years of:
to
Other affiliation?
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Select type of membership desired:
Student @ $10.00 per year
Bronze @ $20.00 per year
Silver @ $30.00 per year
Gold @ $50.00 per year
Would you like to make an additional donation to G.U.H.S.A.A. ?
If so, please specify donation amount
Total amount enclosed $
Please continue to the next page to print the completed application.
