Wasson
Alumni Association
Membership
Application
www.wassonalumni.com
Class of ______________ Date __________________
Name (first) _____________ (last) ____________________ (maiden) ____________________
Spouse____________________________
Address ________________________City __________________ State ___ Zip
_____________
Phone (___)_______ Fax (___)________ Email_______________________________________
Alumni membership fees have been changed to contributions
only
Please Print
this Page and send in with your donation
Membership
Options: ______ Individual ______ Couple
Contributions (Optional)
Historical Preservation (Alumni Room & Memorabilia)
__________
General Fund __________ Campus Projects __________
Scholarships: __________ Other: __________ Amount: $ ______
Would you like to actively participate in the Association activities? Yes______
No______
Special Talents & Interests _____________________________________________
Wasson
Alumni Merchandise for Sale
Polo Shirt ________ ($25.00 each) Sweatshirts (Coming Soon) ________
($TBD)
Sizes (circle); Small, Med, Large, XL, (XXL-$2.00 extra)
Color (circle): Gray, White, Lt. Blue, Yellow, Tan
Quantity____ Amount
$ _______ S&H $ _______ Total
$ _______
Please add $4.50 for Shipping and Handling
Please make checks payable to the Wasson Alumni Association
Mail completed applications and/or checks to:
Wasson Alumni Association
2115 Afton Way, Co. Springs, CO 80909
For additional information about the Wasson Alumni
Association, please contact:
Linda Worthy (Bolling ‘68) Membership, linda68@wassonalumni.com
or Steve ('68) (719) 550-1142 steve68@wassonalumni.com