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Membership Application | Scholarship Contribution | Wall of Honor Program Ad | Wall of Honor Dinner Reservations

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NHSAA Membership Application

Norwalk High School Alumni Association

PO Box 493, Norwalk, CT 06852-0493

Name:______________________________________________

Maiden Name (if applicable):_____________________________________

Address:_________________________________________________

City, State, Zip:__________________________________________

Telephone:______________________________________________

Email:______________________________________________

Class:______________________________________________

Association:______________________________________________

Enclosed is my $10.00 yearly dues: q cash   q Check # ___________

Please mail a copy of the NHSAA Brochure to the above address q yes q no

Please email me a copy of the NHSAA Brochure q yes q no

Be sure to visit the Virtual Yearbook at the NHSAA website: http://www.norwalkhs.org and then send us your virtual yearbook listing by writing to info@norwalkhs.org.

NHSAA Scholarship Contribution

Norwalk High School Alumni Association

PO Box 493, Norwalk, CT 06852-0493

Enclosed is my contribution in the amount of $_______________________ for the Norwalk High School Alumni Association Scholarship Program. This donation is to be used as:

q A Simple Gift

q A Specific Scholarship ($500 minimum) – please indicate details on a separate page

q As a memorial or honorarium: ___________________________________________

                                                  Name to be memorialized or honored/Class

Acknowledge Honorarium or Memorial to:_______________________________ _________________________________________________________________

Donor Information:

                                        Name:______________________________________________

                                          Class:______________________________________________

                                     Address:______________________________________________

                         City, State, Zip:______________________________________________

                                Telephone:______________________________________________

                                         Email:______________________________________________

                                          Class:______________________________________________

Please mail scholarship donation to: The Norwalk High School Scholarship Foundation, PO Box 493, Norwalk, CT 06852-0493.

Ad for Souvenir Program Annual Wall of Honor Dinner of the
Norwalk High School Alumni Association.

Please supply a letterhead, business card, yellow page ad, typewritten message or clearly

Mail ad with check payable to Norwalk High School Alumni Association, PO Box 493

Please send me _____tickets to the Wall of Honor dinner, October 7th at Continental Manor, Norwalk, CT.

Mail reservation form and check (payable to NHSAA) to: NHSAA, PO Box 493, Norwalk, CT 06852-0493.