DHS Alumni Membership Form

Yes! I would like to join!  Enclosed is my donation:

$20

 Alumni or Friend
$30 Family Membership (please provide info below on each alumnus in household.)
$50 Supporter with Spirit
$100+ Amethyst Contributor
Name(s):_____________________________________________________________

____________________________________________________________________

____________________________________________________________________

Maiden Name:_________________________________________________________

Address:_____________________________________________________________

____________________________________________________________________

____________________________________________________________________

Year Graduated:_______________________________________________________

E-Mail:______________________________________________________________

Phone:______________________________________________________________
Yes, I prefer to receive newsletters via e-mail.
Please send me information about the Memorial Field Gateway Project.

Please print this page & mail along with your check made payable to:

Deering High School Alumni Association
PO Box 10471
Portland, ME  04104