member-form.jpg (15083 bytes)
Print the form, fill it out, and send it in with your payment.
NAME: _______________________________________
MAIDEN NAME _______________________
YEAR ATTENDED: _______________________________________
SCHOOL (E or W): _______________________________________
ADDRESS: _______________________________________
_______________________________________
CITY: _______________________________________
STATE: ___________________ ZIP:______________
PHONE: _______/_______________________________
E-MAIL: _______________________________________
Make checks payable to GSAA.
Send checks to:

GSAA
c/o Kevin Mull, Treasurer
6469 NC Hwy 127 North
Taylorsville, North Carolina 28681

Come back often to the GSAA Community!
Visit http://www.ncgsalumni.org on the Web!
President@ncgsalumni.org

Copyright © 1998-2008 Governor's School Alumni Association - North Carolina
Last Updated: Sunday, July 20, 2008