
Greater
Membership Information Sheet
Membership
Fee: $35.00 * Add $15.00 or more for the
Scholarship Fund
Please make checks payable to:
Greater
Mail To:
Name ____________________________________________
Class of _______
Spouse’s Name _______________________________________________________
E-Mail ______________________________________________________________
Address _____________________________________________________________
_____________________________________________________________________
Preferred Phone Number: ______________________________________________
Employer: ___________________________________________________________
Work Address: _______________________________________________
________________________________________________________