MEMBERSHIP DUES:

Above your address label on the newsletter, the numbers indicate one of thefollowing:

"Dues due date" or "LT" for lifetime membership or "000000" for

"Not Yet Paid dues".

Include this form with your payment.

Be sure to check one of the boxes below:

______ My dues are enclosed.

______I am on a fixed income but would still like to received the newsletter.

Mr./Mrs./Ms. _____________________________________________

Maiden Name : ___________________________________________

Class: _________________

Phone Number: ___________-_____________-__________________

Email Address: _________________________________________________________________

Street Address: _______________________________________________________________

City: ____________________________________

State: ___________ Zip : _______________

(check appropriate box) _____ $10 Yearly Membership _____

$100 Lifetime Membership Amount

Enclosed $_________

Mail To: Holmes High School Alumni Association

c/o Billie Peters

 4518 Huntington Avenue

Covington KY 41015

email: billiebear31@gmail.com