Providing Scholarships, Class Reunion Assistance, and More...

Coachella Valley High School Alumni Association

Membership Application
Date ______________________
Name _________________________________________  Class/Year _____________
           Last                               First                 M.I.
Maiden Name _________________________  Telephone ________________________
Spouse ___________________________  CVHS Class/Year _____________________
Address ________________________________________________________________ 
             Street/PO Box                         City                   State           ZIP
E-mail address: _____________________________@___________________________
Present Occupation; Information of Interest:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Membership Type _________________
$___________ Enclosed
Membership fees: _________ Individual  $10.00 annually
                           _________ Couple     $15.00 annually
                           _________ Sponsor   $50.00 annually
                           _________ Lifetime  $500.00 or more. One time donation.
Please print this form, then fill it out and mail it along with your check to:
CVHS Alumni Association
PO Box 3021
Indio, CA  92202-3021
Thank you for your support. Members will receive our quarterly newsletter The Tassel.