Bitburg American High School Alumni Association, Inc Contribution Update Form* Please make checks payable to Bitburg Alumni Association. Mail the check and registration form to: Bitburg High 63-70 Alumni Association c/o Gerry Lagish Hilliard 1391 Tamarack Drive Lake Havasu City, AZ 86404 Name ______________________________________________________________________ please include nicknames (in quotes), maiden and married last names Address: ___________________________________________________________________ ___________________________________________________________________________ please include Street, Apt. #, City, State, Zip, APO/FPO, Country, etc. Phone:___________________________________________________________________________ please list home, work, and toll-free numbers E-MAIL ADDRESS: __________________________________________________________________ please include your internet provider (e.g. AOL) and whether this is a home or work account Year Graduated__________ Calendar Year(s) Attended BHS: (e.g. 62-65) ______ - ______ Spouse's Name: _______________________________________________________________ please indicate if spouse is an alum and provide above date for him/her as well *Your voluntary annual contribution of $25.00 enables us to print newsletters and the roster Today's date:___________________, Enclosed: $________________ is my contribtion for the year 20___ Enclosed donation for the Locater Fund/BHS Web Site $________