Broken Arrow High School Alumni Association 
Membership Application

Name:  ____________________________________________________________________
             (Include maiden name

Mailing Address:  ___________________________________________________________

City, State, Zip:  ____________________________________________________________

Phone (Home):  __________________________  (Work):  __________________________

E-mail:  ___________________________________________________________________

Employment Status:  _________________________________________________________

I am a member of the __________(year) graduating class of BAHS.

Spouse:  ___________________________________________________________________
              (Include maiden name)

Employment Status:  _________________________________________________________

_____  He/She is a member of the BAHS class of ____________ (year).
_____  My spouse did not attend BAHS.

Family History:
Children       	BAHS Grad?	   

If so,          
                                	Yes       No	what year?

____________________________________	____    ____	_________

____________________________________	____    ____	_________

____________________________________	____    ____	_________

____________________________________	____    ____	_________


Membership Dues:  Annual membership dues will be based on your graduating
class year.  For example, someone who was a member of the 1946 class will pay 
$19.46 in dues.  Annual membership will be from January 1 to December 31.  
If both husband and wife are BAHS graduates, only one membership will be required.
Associate memberships are available for persons who attended BAHS in the 9th,
10th, 11th or 12th grades but did not graduate, or current or former school
teachers or employees. Associate dues are $20.00.
Lifetime memberships are also available. Single is $250.00 and couple is $350.00.
 

_____  A check is enclosed for $______.    ƒx Alumni dues                   ƒx Associate dues
_____  Please delete my name from future mailing lists.
                         


Return this completed application with your check (made payable to Broken
  Arrow High School Alumni Association) to Broken Arrow High School Alumni 
 Association, Membership Committee, 601 South Main Street, Broken Arrow, OK 
 74012.







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