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Central/Eastern Wayne Alumni and Friends inc.
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Membership Form
Central/Eastern Wayne & Friends Inc.
Please fill out this form after paying your Membership Fee
First name
(Required)
Last name
(Required)
Email
(Required)
Mailing Address
Phone (123-456-7890)
(Required)
Graduating Class
(Required)
Committee Preference
What would you like to see take place within your alumni association?
(Required)
Occupation/Hobbies/Gifts and Talents
Membership Fee
(Required)
1 year Membership
$25
Lifetime Membership
$600
Submit
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