Coachella Valley High School Alumni Association
Membership Application
Date ______________________
Name _________________________________________ Class/Year _____________
Last First M.I.
Maiden Name _________________________ Telephone ________________________
Spouse ___________________________ CVHS Class/Year _____________________
Address ________________________________________________________________
Street/PO Box City State ZIP
E-mail address: _____________________________@___________________________
Present Occupation; Information of Interest:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Membership Type _________________
$___________ Enclosed
Membership fees: _________ Individual $10.00 annually
_________ Couple $15.00 annually
_________ Sponsor $50.00 annually
_________ Lifetime $500.00 or more. One time donation.
Please print this form, then fill it out and mail it along with your check to:
CVHS Alumni Association
PO Box 3021
Indio, CA 92202-3021
Thank you for your support. Members will receive our quarterly newsletter The Tassel.
