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Parent Information
Name ------------------------------------------------
Address ------------------------------------------------
City, State Zip ------------------------------------------------
Phone Number ------------------------------------------------
Email (important) ------------------------------------------------
Congressional District ------------------------------------------------
Cadet/Graduate
Information
Grad Rank ------------------------------------------------
Name ------------------------------------------------
Company & Regiment or ------------------------------------------------
Grad Division/Battalion ------------------------------------------------
Address or Box Number ------------------------------------------------
City, State, Zip ------------------------------------------------
Birth Day ------------------------------------------------
Class year ------------------------------------------------
Email ------------------------------------------------
Membership Dues ------------------------------------------------
($35 for Cadet Parent)
($20 for Graduate Parent)
WPPC Name Badge (New Parents) ------------------------------------------------
($5 each includes shipping)
Total Enclosed ------------------------------------------------
Check Due by September 1, 2007
Please make checks payable to West Point Parents Club
Call to return form and check to: Michael & Nancy Alderson
314-725-7071