(Please type your
information
directly to this screen)
Father's Name:
Mother's Name:
Cadet's Last Name:
Cadet's First Name:
Cadet's Class Year:
Cadet's Birthday:
Cadet's E-Mail:
Parent's E-Mail :
Parent's E-Mail :
Street Address:
City, State, Zip:
,
Home Telephone #:
Father's Work #:
Mother's Work #:
Father's Cell #:
Mother's Cell #:
All Other - Comments:
Annual Dues are for the period of
July 1st through June 30.
Dues are $35/1 year; $60/2 years; $90/3 years and $120/4 years.
Alumni and Associates Dues are $20
per year
Year(s) Paid for Dues:
Amt Paid for
Dues & Name Tags:
$
WPPCGH Name Tags are
$15.00 Each
Name(s) for WPPCGH
Tags :
;
Date:
Periodically a contact list may be made and disributed to members or members who are attending an event such as TX Tamale Tailgate, Army-Navy Game etc.
Please initial if you would like to OPT OUT of sharing your contact information (primarily cell and e-mail) with members of WPPCGH.
Print your
membership application form and submit this application, along with your payment to WPPCGH, to the Treasurer at any meeting. You can also mail your form and payment to:
