LWMA ALUMNI ASSOCIATION
P O DRAWER 550
CAMP HILL, AL 36850
256-896-2715 - FAX-256-896-2864
EMAIL-admin@lwalumni.org
NAME_________________________________________________________________
MAILING ADDRESS_____________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
BIRTHDATE__________________________SOCIAL SECURITY #_______________
CLASS OF: SII________________ LWMA_______________ GRADUATE: YES - NO
IF NO - YEARS ATTENDED_______________________________________________
EMAIL ADDRESS_______________________________________________________
MILITARY: PLEASE STATE BRANCH OF SERVICE _________________________
ARMY ___ NAVY ____ MARINES ___ USCG ___ USAF __ NATIONAL GAURD __
WORLD WAR II KOREAN VIETNAM OTHER___________________
_______________________________________________________________________
EMAIL ADDRESS_______________________________________________________
NOTES OF INTEREST ABOUT YOURSELF OR YOUR FAMILY
-
-
-
-
-
-
-
-
-
-
-
-**ANNUAL DUES ARE $25.00 FOR MEMBERSHIP. PLEASE SUPPORT YOUR ASSOCIATION. MAKE YOUR CHECK PAYABLE TO: LWMA ALUMNI ASSOCIATION AND RETURN WITH THIS FORM.
DO YOU WISH TO RECEIVE OUR ALUMNI NEWSLETTERS OR CORRESPONDENCE YES - NO