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Bay Shore High School
Alumni Association, Inc.

Membership

Alumni Association Membership Information:

To be included in our alumni database, please fill out the form below and click "submit" or print and mail form. To access our On-Line Alumni Directory, click on the "Directory" button noted.

First Name:

Last Name:

First Name as Student:

Last Name as Student:

Address:

City: State: Zip:

Country:

Telephone:

Occupation now:

Occupation Retired from:

Post High School Education (if applicable):

E-Mail Address:

Year you did or would have graduated (4 digits)

Married to an Alumnus? Yes No If yes, who?

Areas of Interest:
Athletics Music Drama Technology Art

I would like to join the BSHS Alumni Association
Dues - $20.00 per year membership
$100.00 lifetime membership

I would like to make a donation to the Alumni Association:
Scholarship Fund
Newsletter Fund
General Operating Fund

Make check payable to: BSHS Alumni Association, Inc.
P.O. Box 464
Bay Shore, N.Y. 11706-0646

I would like to help with the Alumni Newsletter

I would like to help with the Hall of Fame Project

To visit or register at our On-Line Directory Click Here
( http://www.alumniconnections.com/olc/pub/BYS/ )

Bay Shore High School Alumni Association
P.O. Box 464
Bay Shore, NY 11706-0646
Phone: (631) 968-1251 ~ Fax: (631) 968-1298