West Point Parents Club of Greater Kansas City

MEMBERSHIP ___ NEW___RENEWAL

Parent Information

Parent Names ______________________& _______________________ ________________________________

Street Address________________________________________________________________________________

City, State, Zip_______________________________________________________________________________

Telephone # (_____) _______________________ E-Mail ______________________________

Cadet Information

Cadet Name _____________________________________ Company: _______________________________

P.O. Box ___________________________________________________ West Point Class of: __________

High School ____________________________________________________ Year Graduated: _____________

Sex ___________ Birth Date _______________

ADDITIONAL INFORMATION/COMMENTS/INTERESTS: _____________________________________________________________________________________________

_____________________________________________________________________________________________

I/We would like to become members of the West Point Parents' Club of Greater Kansas City. By the Signature on this application. I/We agree to have our name(s) appear on the group membership roster for distribution to members of the West Point Parents' Club and other interested West Point parties.

APPLICANT SIGNATURE(S) ________________________________________________ DATE: _____________

________________________________________________ DATE: _____________

ANNUAL DUES: $30 FAMILY ($5 ALUMNI FAMILIES)

SEND COMPLETED APPLICATION AND A CHECK MADE PAYABLE TO: "WEST POINT PARENTS' CLUB OF GREATER KANSAS CITY" TO:

WPPCGKC, Chuck King, Treasurer, 29317 SE Outer Rd., Harrisonville, MO 64701 cking1@hallmark.com