1. ROXBURY HIGH SCHOOL ALUMNI ASSOCIATION MEMBERSHIP FORM
___ I would like to be an Annual Member. ($10.00)
___ I would like to receive the Alumni Association Email Newsletter.
(No cost with membership.)
___ I would like to make a tax deductible donation to the Roxbury Alumni Association in
the amount of $ ______
___ My check is enclosed in the amount of $ ______
Since we are an Internal Revenue Service approved Non-Profit organization, any contribution is tax deductible.
Name: ________________________________ Class Year: ___________________
E-mail: _______________________________ Phone: _______________________
Marital Status: _________________________ Spouse Name: _________________
Company Name: _________________________________________________________
Occupation: ____________________________________________________________
Home Address: __________________________________________________________
City: ________________________ State: _________ Zip: ______________
Whom do you correspond with or see from Roxbury?
Your Class Notes or News (please submit to apalacios@roxbury.org):
_______________________________________________________________________
Please mail to: President and Treasurer:
The RHS Alumni Association Charles Alpaugh
1 Bryant Drive,
Succasunna, NJ 07876 Secretary and VP:
www.Roxbury.org/Alumni Doreen Hosking Wright