pirate.jpg (4327 bytes)Join The Alumni Association!

Please provide the following information:

Your Name:  ______________________________ (Maiden Name:) ___________

Your Address:		 _______________________________________________________
City, State Zip:
____________________________, ________, ________________

 New Address? (Yes or No) _____

E-mail:
 		 ____________________________________________________
Class Year: ______________                          New or Renewal __________
Phone: Home: (_____) ______________ Work: (____) ____________________
One Year:  $8.00: ____    Two Years: $16.00 _________  Specify: __________

Make check payable to: CHSAA,  Mail to: CHSAA, P.O. Box 82002, Columbus, OH  43202-0002

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