Name:

Address:

City:
State:
Zip Code:

Year Graduated:

Location of Spencer at that time:

Name of classmate that keeps your class' updated list:

Name:

Address:

City:
State:
Zip Code:

Phone (include area code):

I desire to join the Spencer Alumni Association, Inc.!

(select all that apply)

Membership Level...................................................

Active Membership.....$25.00.........New....Renewal

Lifetime Membership is $200!

Associate Membership-(non-graduate of SHS)

$25.00 for New Member or Renewal

Donations to support programs of SHS: $

(restricted-check all that apply)

Athletic Fund.....Spencerian Yearbook...Odis Spencer Athletic Award

Multicultural Library.......Band Booster Fund.....Athletics...Academics

Structure Maintenance........Brick Nameplates......Trophy Case

Unrestricted Donation to support programs $

Please submit this form and mail the information below to this address:

Office of Alumni Affairs

Post Office Box 5334

Columbus, Georgia 31906-0334

Make sure you have included the following:

1. Membership Fee

2. Full name & Telephone number