Wufoo

Membership Form

please enter your info below. this form is secure. no information will be shared.

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number * ### - ### - ####
Are you an STHS graduate?
Yes No Yes, my spouse is!
My year/Spouse Name & Year
Membership *
General Membership ($50.00) Friend of Education ($250.00 or more) Corporate ($500.00 or more)
Additional Fund Contributions
Class Size Reduction Music In Our Schools-Daphne Forte Literacy - Cindy Pribyl Track Restoration-Haase-Hug-Holmes Special Education- Lori Brandstetter Memorial Class of 1966 Scholarship Fund

please add additional contributions to your total.
Please Charge my card * $ Dollars . Cents
Credit Card Number *
Exp Date MM/YY *
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