2004 MEMBERSHIP - ADDRESS CHANGE FORM
January 1, 2004 - December 31, 2004
PLEASE PRINT AND MAIL THIS FORM TO THE TREASURER - ADDRESS IS IN THE BOX BELOW

NAME (Include Maiden Name) ___________________________
_____
Indicate your
CLASS YEAR

SPOUSE'S NAME _____________________________________

(Include Spouse's Maiden Name and Class year if they attended WHS)

ADDRESS ____________________________________________
(Street Address or PO Box Number)
__________________________________________________
(City, State and Zip code)
PHONE NUMBERS: __________________________________
EMAIL ADDRESS: (Please print) ______________________________
_____ Check here if address is NEW

ANNUAL DUES $25.00 MUST BE RECEIVED BY APR. 1ST!
Includes 2 newsletters and the Alumni Directory

Dues received during the year (from new found alumni) will receive all newsletters and directory for that specific calendar year. Make Check Payable to: The Gen. H. H. Arnold H.S. Alumni Association and mail to this address:
Mariann Meyer Pilson, Treasurer
3056 Ole Ct. NE
Albuquerque NM 87111

_______ Donation (Scholarship Fund or General)
_______ Dues for 2004 - Multiple Year Dues are Accepted at $25 per year
___________ TOTAL AMOUNT ENCLOSED

*****IMPORTANT NOTICE*****
This year's alumni Directory will be offered in CD and Paper forms. Unless you specify which one you want, you will be sent the Directory in the CD Format!

Please Check Below:

_______I want the Directory in the old Paper Format
_______I want the Directory in the new CD Format
NAME _____________________________________ CLASS YEAR _____________