CHS Alumni Membership Form
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Lifetime Membership
$
30.00
Quantity
0
1
Item subtotal:
$
0.00
Donation
$
5.00
Quantity
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Item subtotal:
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0.00
Full Name
First Name
Last Name
What class were you in?
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
example@example.com
Contact Number
Is mailing address same as billing address?
Yes
No
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit Order
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