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           Sol. C. Johnson High School National Alumni Association 
                                            Registration Form


Name (Mr/Mrs/Ms) _______________________________

Maiden Name ______________________________


Address (Street) __________________________________

City ________________________________ State ______

Telephone (Day) ____________________  (Evening) ______

Cell: ______________________

Email:(Print) ____________________________________

Class/Year of Graduation/Attended _____________

I participated in the following activities/organizations at SCJ (Band, athletics, SGA, chorus, queen, academic honors, etc.) 

_______________________  ______________________

_______________________  ______________________

_______________________  ______________________

_______________________  ______________________

Membership dues are $35.00 per year. Please make sure your check/money order payable to:

Sol C Johnson High School National Alumni Association (SCJNAA)


ONE FORM PER ALUMNI PLEASE!

                              
                                          For Processing Only

Date Received __________    Check/Money Order # _______

Amount $ _________     Processed by: (Name) ____________

Member # ________

Mail completed registration form with payment to:

Sol C. Johnson High School National Alumni Association
P.O. Box 13712 - Savannah, Ga 31416