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Hoover Alumni Association

Membership/Renewal Form

To join or renew your membership, please complete this form and return it to:

Hoover Alumni Association c/o Dwight Kelly, Membership Chairman
6502 East Lake Dr
San Diego, CA 92119-2811
Phone: (619) 469-8329 e-mail: hoover52@home.com

Make checks payable to: "Hoover Alumni Association"

Please Print (Maiden if a women)

First Name ________________________ Last Name ______________________

Married Name ______________________

Address __________________________________________________________

City ____________________________ State ________ Zip + 4 ____________

Phone (_____) _______________ CLASS YEAR ___________

[ ] New [ ] Renewal [ ] Annual ($15.00) [ ] Life ($100.00)

[ ] Donations to the Scholarship Fund ($__________) All dues and donations are tax deductible

Print Form and Mail To Dwight

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