2012                             New Member ____                                                 Renewal Member ____

CAPER 10 MEMBER INFORMATION FORM

To join Caper 10 or to renew your membership

please complete the following form.

Send it along with your tax deductible check for $100 payable to:

Caper 10 Alumni Association, Inc.

311 North Broadway, West Cape May, NJ 08204-1205

(Please print clearly)

NAME: _________________________________________________ CLASS OF: __________

NAME: _________________________________________________ CLASS OF: __________

ADDRESS: ___________________________________________________________________

CITY: __________________________________ STATE: ________ ZIP: ______________

TELEPHONE: ___________________ E-MAIL: ____________________________________

Is This Membership In Memory Of Someone?     ____ No         ____ Yes

NAME: _________________________________________________ CLASS OF: __________

This information will not be released to anyone outside our association.

We will use it only to reach you with updates.

THANK YOU !!

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2012                             New Member ____                                                 Renewal Member ____

CAPER 10 ASSOCIATE  MEMBER  INFORMATION FORM

To join Caper 10 or to renew your membership

please complete the following form.

Send it along with your tax deductible check for $50 payable to:

Caper 10 Alumni Association, Inc.

311 North Broadway, West Cape May, NJ 08204-1205

(Please print clearly)

NAME: ______________________________________________________________________

ADDRESS: ___________________________________________________________________

CITY: __________________________________ STATE: ________ ZIP: _______________

TELEPHONE: ___________________ E-MAIL: ____________________________________

This information will not be released to anyone outside our association.

We will use it only to reach you with updates.

THANK YOU !!