MASH Alumni Association Contribution Form

MASH Alumni Association Contribution Form

Help your alumni association with a generous donation
Date

YearMonthDay
date_email

MonthDayYear

Hour MinutesAM/PM Option
Name

First NameLast Name
Maiden Last Name (where appropriate)
Class Year
Address

Street Address

Street Address Line 2
CityStateZip Code
Home Phone
Mobile Phone
Email
Annual Dues

Your Membership Dues support the Alumni Association annually. Pay annual membership dues for up to 6 alumni. List full name and class year for each
Annual Dues @ $10
AnnualDues-calc
Dues #1 - Name & Class
Dues #2 - Name & Class
Dues #3 - Name & Class
Dues #4 - Name & Class
Dues #5 - Name & Class
Dues #6 - Name & Class

Administrative, Scholarship, and Dinner Sponsor Funds

Designate a Memorial or Honorarium on the next page for up to 4 alums when you contribute to one or more of these funds.
The Administrative Fund supports all functions of the alumni address and information database, class reunion mailing labels, annual newsletter design and printing, web site maintenance, and office supplies.
Administrative Fund
Interest from the Scholarship Fund provides funding for the Alumni Scholarships awarded annually to graduating seniors based on the educational and financial needs of the applicants.
Scholarship Fund
Your sponsorship of the Annual Dinner will go towards preserving this tradition as well as keeping your Alumni Association thriving. A preset sponsorship level of $100, $200, $500 or more will be recognized in writing at the Annual Dinner, in the following year's Roar newsletter and on the Alumni Association Annual Dinner web page.
Dinner Sponsor
Page3Total

Memorials / Honorariums

Your contribution to the Administrative, Scholarship, and/or Dinner Sponsor Fund(s) on the previous page allows you to recognize up to 4 fellow alums in his or her honor or memory:
Alum #1
#1 This contribution is in:
#1 Name & Class Year
#1 on the occasion of: Birthday, Anniversary, Class Reunion, etc
Please notify the following of this contribution:
(don't list yourself, you will be notified automatically)
#1 Third Party Notification Name
Address

Street Address

Street Address Line 2
CityStateZip Code
Alum #2
#2 This contribution is in:
#2 Name & Class Year
#2 on the occasion of: Birthday, Anniversary, Class Reunion, etc
Please notify the following of this contribution:
(don't list yourself, you will be notified automatically)
#2 Third Party Notification Name
Address

Street Address

Street Address Line 2
CityStateZip Code
Alum #3
#3 This contribution is in:
#3 Name & Class Year
#3 on the occasion of: Birthday, Anniversary, Class Reunion, etc
Please notify the following of this contribution:
(don't list yourself, you will be notified automatically)
#3 Third Party Notification Name
Address

Street Address

Street Address Line 2
CityStateZip Code
Alum #4
#4 This contribution is in:
#4 Name & Class Year
#4 on the occasion of: Birthday, Anniversary, Class Reunion, etc
Please notify the following of this contribution:
(don't list yourself, you will be notified automatically)
#4 Third Party Notification Name
Address

Street Address

Street Address Line 2
CityStateZip Code

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Annual Dues