PRINT OUT THIS FORM, COMPLETE, AND MAIL WITH PAYMENT TO ADDRESS BELOW.
Include your street & email address if not correct in latest class booklet.
CLICK HERE with questions or to request hard copy original by mail.
| Permanent Record
I, most solemnly and with full understanding of my action, do by my signature below hereby acknowledge my willing participation in The Memorial High School Class of 1972 Trust, hereinafter and elsewhere referred to as The Trust. **** I pledge to faithfully abide by and obey the terms, conditions, requirements and responsibilities of The Trust, which have been revealed to me separately. **** I agree that any failure to complete said pledge shall certainly result in penalties up to and including expulsion from The Trust. Signed ____________________________________________________________ PRINTED: __________________________________________________________ Epitaph ___________________________________________________________ ___________________________________________________________________ Dated ____________________ Buy-In Fee = $30 until June 23, 2003.Sign & Print Name, Suggest Epitaph, Date. Turn in Permanent Record to Trustee for Processing. Make Check Payable To: |
This Contract Expires Upon the Award of Benefit, Expulsion or Death, whichever is First.