URBANA HIGH SCHOOL ALUMNI INFORMATION

Alumni members will receive "The UHS Alumni Banner", a newsletter published bi-annually.

Annual Membership dues are $5.00

Make Checks payable to: UHS Alumni Association

Mail to:UHS Alumni Association

Treasurer

500 Washington Avenue

Urbana, Ohio 43078

Please feel free to print this page to send in with your membership dues.
-- ANNUAL MEMBERSHIP DUES --

Name: _________________________________ Class Year: _____

Address: _____________________________________________

City: _________________________ State: ________ Zip: ______

Phone: Area Code (_____) _____ - ________

_____ $5.00 Dues Enclosed

____ Scholarship Fund Donation (optional) $ ____________
Make Checks payable to: UHS Alumni Association
-- MEMBERSHIP IS RENEWABLE EVERY SEPTEMBER --