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Highland Park High School Alumni Membership Application

Annual dues: $8.00     Annual memberships are effective July 1 through June 30.
Lifetime membership (one-time fee):    Age 18-40  $65.00         Age 61-70  $45.00
Age 41-60  $50.00         Age 71 +   $25.00

Name ______________________________________________________________

Street Address _______________________________________________________

City, State, Zip _______________________________________________________

New _____  Renewal _____ Year Graduated ________ Age of Alumni Member _____

Amount submitted for membership  $__________ Amount submitted for scholarship   $__________
Amount submitted for “special requests” $____________

Return to HPHS Alumni Association, 2424 SE California, Topeka, KS 66605-1760