BENSON BOBCAT ALUMNI ASSOCIATION
P O. Box 1
Benson, AZ 85602
Annual Dues are tax deductible. (Check with your tax consultant)
APPLICANT’S NAME: _______________________________________________________
Maiden Name:____________________________
FIRST TIME ACTIVE MEMBERSHIP APPLICATION _______
REINSTATEMENT OF LAPSED ACTIVE MEMBERSHIP _______
ASSOCIATE MEMBER ______________
ADDRESS: ________________________________________________________________
PHONE NUMBER: _______________________________________________
CELL PHONE NUMBER: ________________________________
EMAIL ADDRESS: __________________________________________ GRADUATING YEAR: _____
SPOUSE’S NAME: _________________________________________________
If BHS graduate – year of graduation: _____________________
Would you be interested in serving on any of the Alumni Committees or as a director of the Board? _______________
______ Board of Directors ______ Scholarship Committee
______ Membership Committee ______ Publicity Committee
______ Fund Raising Committee _____ Other Committees
______Newsletter Committee
Annual Membership dues are $10.00 per alumnus and due annually no later than March 15th.
Please be sure to keep the BBAA up to date with your contact information so that we can keep in touch!
I approve my name to appear on the roster available to Benson Schools for notices, invitations, etc.
_______ YES ______ NO
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
DATE:__________________________________________
Signature ________________________________________
Please mail dues to P.O. Box 1, Benson, AZ 85602 or email us at [email protected] and we can send you a QuickBooks Invoice so that you can pay with a debit or credit card
Recruited by: _____________________________________________