Camden Alumni Association Membership Form

**ALUMNI ASSOCIATION INFORMATION**
Alumni Association Purpose
Association Bylaws
Association Officers & Board Members
Class Contact Suggestions

Click Here to Download the PDF Version of the Membership & Scholarship Donation Form

Camden Alumni Association

Membership Form

Membership Definition: Any person who graduated from Camden Schools, or has been certified as an alternate diploma holder (e.g. GED, Military, etc.) is automatically a member of the Camden Alumni Association. To become anActive Member you need only pay annual dues. Active members, only, have the privilege of voting in Association elections.

Membership Year: The membership year commences at the Annual Meeting and Banquet, and expires at the next annual Meeting and Banquet. Membership expiration is shown on mailings of the brochure and ballot in the address panel near your name.

CLASS NEWS

Title: __ Mr. __ Mrs. __ Miss __ Ms. __ Dr. __ Rev. __ Sr.

First Name: _______________________________________ Middle Init.:______

Maiden Name: _____________________________________

Last Name:_______________________________________ Class Year:________

Street Address:__________________________________________________________

City:_________________________________ State:_________ Zip:____________

Home Phone:_____________________ Email Address:_________________________________

Dues paid for:
__ 1 Year ($5)

__ 2 Years ($10)

__ 3 Years ($15)

__ 4 Years ($20)

__ 5 Years ($25)

__ Other:

___ Years @ $5/Year

Spouse’s Name:(If Camden Alumni, include Class Year, if female Alumni, include include maiden name)

_____________________________________________________________________

Your birthdate: _____- ____ -__________

Month Day Year

Temporary Address:

(If you have a temporary address, either for the Winter or Summer, please indicate it below.)

Temp Street address: _______________________________________________

Temp City:__________________________ Temp State:______ Temp Zip:_____________

Temp Phone Number:________________________________________

Your parent’s name(s), if Camden Alums (include graduation year, also):

Name:___________________________________________________ Year: _________

Name:___________________________________________________ Year:_________

Current annual dues are $5.00 per year per person. Payment can be made for multiple years. Send your dues payment to:

Camden Alumni Association

Daisy R. Brady, Registrar

35 Fourth Street

Camden, NY 13316

If paying by check, make payable to Camden Alumni Association.