Please print off the form and submit cheque and form via post. Thank you for preserving the past, supporting the present, and ensuring the future of Glencoe District High School.
___________________ __________________ ___________________
Family Name First Name Maiden Name (if applicable)
Street, No., RR#, P.O. Box, etc.
______________________ ______________________ __________________
City/Town Province/State/Country Postal/ZIP Code
_(_______)___________ _(_______)_____________ _________________________
Home Phone Fax No. E-mail Address
To reduce administrative costs we would like to correspond by e-mail. Your e-mail address will remain confidential.
Indicate years associated with G.D.H.S. ______________________ (i.e., 1970 to 1975)
1 Year Membership $ 10.00
5 Year Membership $ 40.00
Lifetime Membership $100.00
Are you interested in volunteering? Yes No
Send Membership Form G.D.H.S. Alumni and Friends Association
with cheque payable to P.O. Box 2
“GDHS Alumni and Friends Glencoe, Ontario
Association” to: N0L IM0
For further information please contact:
Karen Hodgson, email@example.com
Susan Allan, firstname.lastname@example.org