First Name: Last Name:
Maiden Name: Year Graduated
Additional Names & Grad. Class for Household Membership: 

Address: City:
State: Zip:
Phone:    Cell:  
E-Mail:   Web-Site:
Newsletters delivered by: CONSTANT CONTACT - from AHScoltsforever@gmail.com - (add email to your contacts)

Memorial Membership - Classmate to be Honored:
Class Year for the Memorial Classmate
Address for Memorial Classmate family: City:
State: ZIP: Family Email:

Membership Type - Please Check One:
ANNUAL INDIVIDUAL: $25.         (Requires a $15. Yearly Renewal)
ANNUAL HOUSEHOLD: $35.        (Requires a $15. Yearly Renewal) PROVIDE NAMES AND GRAD YEARS
LIFETIME INDIVIDUAL: $125.      
COLT COUPLE:  $175.       PROVIDE NAMES AND GRAD YEARS
RENEWAL - INDIVIDUAL OR HOUSEHOLD:  $15.  
MEMORIAL MEMBERSHIP: $35. ONE TIME FEE - NAME LISTED IN ITALIC WITH CLASS

CHECK SHOULD BE MADE PAYABLE TO:  AHS ALUMNI ASSOCIATION

SELECT RESET BUTTON IF YOU NEED TO START OVER

  * CLICK SUBMIT FORM BEFORE SELECTING PAYPAL PAYMENT OPTIONS