AUSTIN HIGH SCHOOL ALUMNI ASSOCIATION
                                   MEMBERSHIP APPLICATION
                                                            (PLEASE PRINT)
 
 
 
     Please choose one of the following:  ______1 year @ $20         _____ 2 years @ $35
                                                                ______3years@ $50         _____ 4 years @ $65
                                                                ______10 years @ $150   ______ Lifetime @ $400
    
     You may also make a donation to the Scholarship Fund $__________
 
      Please make checks or money orders payable to "Austin High School Alumni
      Association."  This contribution is tax deductible, as we are a non-profit organization,
      filed with the State of Illinois.
 
     Please mail to the name/address below (checks could be misplaced at school). You will
     receive a membership card, periodic newsletters, and news of our graduates. There is an
     Alumni Day at Austin, when those of us who love Austin can speak to the current students
     and, perhaps, inspire them. We would love to invite you to participate!
 
                               NAMES OF OTHERS: (add others if you have them - on the back!)
 
     NAME ____________________________________________________ CLASS ____________
 
     MAIDEN NAME_____________________________________________________ (if applicable)
 
     ADDRESS ____________________________________________________________________
 
     CITY _______________________________________________________ ZIP CODE _________
 
     NAME ____________________________________________________ CLASS ____________
 
     MAIDEN NAME_____________________________________________________ (if applicable)
 
     ADDRESS ____________________________________________________________________
 
     CITY _______________________________________________________ ZIP CODE _________
 
 
                                                                        Patricia Tamburrino
                                                                        1621 N. 78th Avenue
                                                                        Elmwood Park IL 60707-4113
 
 THANK YOU! GO YOU AUSTIN!