68 ALUMNI ASSOCIATION
MEMBER
REGISTRATION
Last
Name:__________________________________________________
First
Name:__________________________________________________
Street
Address:_______________________________________________
City:
Home
#:_____-________ Work #:_____-________ Cell #:_____-_______
Email
Address: _______________________________________________
Occupation:
__________________________________________________
Year(s)
in Troop: _____/_____Rank Attained: ________Adult Pos.______
ANNUAL MEMBERSHIP FEE $15.00
The
68 Alumni Association is a non profit organization whose main objective it to
promote and support Boy Scout
Membership
Fee : ($15.00) Amount $15.00
Check # ______
Reunion
/ Other Donation: Amount ______ Check # ______
Mailing
address
68 Alumni
Association
c/o Steve
Barnes
700 Jordan Lane
Arlington,
Texas 76012
Home (817)275-4752, Cell (817) 228-4849, Work (817) 277-1141 email: mailto:stevebarnes@sbcglobal.net
or