Wishek Public School Alumni Association

 PO Box 72

Wishek, ND 58495

WPS Alumni Association Membership Dues & Registration Form

To print, select ‘print preview’ on the ‘file’ dropdown menu, 

then click on ‘shrink to fit’ then ‘print’ and mail to the address above.

 

Annual $10.00 (per household) Membership     Dues__________Donation__________

$                  

Banquet Fee, $20.00 per person (Deadline is May 18, 2019)  $25.00 at the door is limited!

$

Class List - $5.00 (per requested year)      Year/(s) Requested_______________

$

Dollars for Scholars Contribution (Funds will be turned over to Dollars for Scholars)

$

TOTAL ENCLOSED

$

 

First Name                                                               Last Name

Maiden Name                                                          Spouse

Address

 City                                                                          State                              Zip
 Class of                                                                   Telephone
 Email Address
 Would you prefer to receive the Badger Bulletin by email?    Yes____   No____
 
MAIL TO:
WPSAA  ♦  PO BOX 72  ♦  WISHEK, ND  58495-0072